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Our Story

HYGENERATE is a growing wellness focused medical practice that offers in person and virtual services. We have over 20 years in healthcare with experience treating patients in various care environments, with varied health backgrounds, & in many parts of the nation and world.  Our provider has numerous state licenses to better serve those both near and far.  Hygenerate aims to provide excellent, personal customer service at every interaction. We are a small-business supporting, veteran-owned company.  We have strong ties to the communities we serve, living and working in Granville county.

We take great pride in providing our community and beyond with high-quality, patient-centric care and health education.  The lack of available non-primary, non-emergency care within our area is what has driven us to share our talents locally with our neighbors at affordable prices with compassionate care.  Our experience in providing open access to quality, personalized care to various populations with wide backgrounds throughout the United States and world has led us to also share our services to those living not within driving distance.


Opening this practice has been a labor of love for both my husband, Andy and myself.  We both thank you for choosing to trust us at Hygenerate with your health and the well being of not only you, but also that of your family and friends.

I’m a nurse practitioner with over 20 years of my life working in healthcare. As a nurse practitioner, I have over 10 years experience treating weight management, urgent care, and acute and chronic medical conditions. Prior to becoming a nurse practitioner, I worked as a nurse in the emergency, surgical, and women's services areas.  My doctoral work (2014-2016) focused on weight management and long term success with maintenance of losses achieved. 
Overall, this 20+ year journey has led me to focus on practicing shared decision making with my patients. I am often rated as a top provider in the places I provide care. My goal is for all of my patients to receive quality care that is compassionate, affordable, and exceptional. I promise I will meet you where you are and we will work together to bring you back to full health restoration. 

Meet Your Providers

Leah is a nurse practitioner with over 16 years experience working in healthcare. Her experience includes family and internal medicine, long term care, acute care, step down, and cardiac care.  As a nurse practitioner, she has focused her work mostly in the primary care and internal medicine fields caring for her patients’ chronic conditions and immediate needs. She enjoys working with patients of all ages and takes pride in patient- centered care where her patients are truly heard and empowered. Leah treats her patients from a whole-person approach.  She is passionate about helping them find solutions to their concerns.  Her experience in weight management approaches is lengthy and broad.  Her commitment to honoring her patients’ in their journeys and providing them with understanding, compassion, and quality care is why she is rated as a top provider in the places she treats patients. 

Outside of caring for her patients, Leah and her husband have four children who keep them busy. Leah and Julianne are colleagues who became friends—connected first by their commonality of being military spouses and nurses.  Their similar approach to care and their passion for providing excellent care for their patients is what led us to bring Leah on to help see our patients virtually.

Julianne Tondreau, DNP, APRN, FNP-BC

Leah Rose, FNP-BC

Our Services

Virtual and In Clinic Weight Loss


We are proud to offer our clients professional weight loss support from the comfort of your home. We believe that everyone should have access to proven methods of weight care. 

Your visit includes evaluation by our provider (whose doctoral dissertation was focused on long term weight loss success), lab work and review, a prescription (& prior authorization) for medication if medically appropriate and dietary suggestions/guidelines.  

We promise to meet you where you are in your journey and support you with the tools to achieve your weight loss goals.

Functional Medicine


Functional Medicine takes a comprehensive approach to prevention, health, and wellness to treat the root causes of disease; and restores healthy function through a personalized patient experience. Our provider will spend time listening to you and gathering your medical history in addition to providing a comprehensive lab panel and review. We use this information to identify the root cause of illnesses, such as poor nutrition, stress,  allergens, genetics and your microbiome (the bacteria living in and on your body).

Urgent Care


If you have a minor to moderate medical problem, need a work or school note, or have another medical concern that you need assistance with, we would love to help you!  We understand that primary care provider appointments can be challenging to schedule when you're sick and that emergency room visits are very expensive.  Our urgent care visits are appropriate for many conditions, including colds, flu, allergies, skin conditions, diarrhea, vomiting, sinus pain, sore throat and urinary tract infections, strains/sprains and more! We are able to provide procedures in our clinic to include incision & drainage of abscesses, suturing, injectable antibiotics, dehydration treatment and wound care.  We do take walk ins and appointments for this service.

IV Hydration


IV hydration is a service that provides crucial micronutrients directly into your bloodstream via an intravenous (IV).  Your body’s cells receive 100% bioavailable nutrients in the form of vitamins, minerals, amino acids, and antioxidants, enhancing their biochemical processes and functions. You also obtain the necessary hydration to flush and expel toxins from your body.  The overall effect is more efficient cellular function and a pathway towards achieving optimal health and vitality from the inside out.

Vitamin Injections


Vitamin injections help maintain good health and have been shown to be beneficial in helping to: reduce stress, fatigue, improve memory, mood, immunity, cardiovascular health, and help maintain a good body weight. They can also assist the body in converting proteins, fats and carbohydrates into energy and is necessary for healthy skin and eyes. The Multivitamin injection and B complex injection are comprised up of specific amounts of the vitamin B, essential amino acids, along with other neutralizing components proven to boost energy levels and vitality.



If you or your child are in need of a physical, we are here to make it easy. We offer a variety of different physical types such as; school physics, sports/camp physicals and work physicals. Our provider will review any medical history, conduct an exam and order any additional labs or immunizations that are needed.


LIMITATIONS: Remember, there is a time to call us and a time to go to the nearest emergency department or call 911.

Reasons to Go to the ER or dial 911:

Signs of a stroke including:


  • Sudden weakness or numbness of the face, arm, or leg on one side of the body.

  • Sudden loss of vision, particularly in one eye.

  • Difficulty talking or understanding speech.

  • Sudden, severe headache


Unexplained dizziness, unsteadiness, or sudden falls, especially when paired with other stroke-like symptoms.


Loss of consciousness.


Severe shortness of breath.


Signs of a heart attack including:


  • Pressure, fullness, squeezing, or pain in the center of the chest.

  • Tightness, burning, or aching under the breastbone.


Drowsiness, unexplained stupor, or disorientation.


A major injury, such as a head trauma.


Wanting to hurt yourself or others. 

Dry Paints


What They’re Saying

My family and I are so well pleased with our visits through Hygenerate.  We were cared for with excellent service, compassion, and professionalism.  Julianne went above and beyond to get my family well!  I will be recommending friends and family to join as well.  Thank you Hygenerate!

Finally a provider who listens without judgement!  Compassionate, smart, and holistic.  It's amazing to find someone who is willing to take your goals seriously.  Thank you!

Excellent patient care.  Julianne was so supportive and helpful.  When my PCP refused to even send in my prior authorization, she was willing to help me get the treatment I needed.  She is super kind and the telehealth experience was smooth and easy.  Julianne is quick at responding to questions and super supportive!

Please reach out to us with any questions about Insurance.

Office Hours 

Monday 8:00am-4:00pm

Tuesday 8:00am-4:00pm

Wednesday 8:00am-4:00pm

Thursday 8:00am-4:00pm

​Friday/ Saturday / Sunday Closed 


Times are in Eastern Standard Time

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