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Organization
LIFE TREE WOMEN CARE, INC.
Active
Organization
LIFE TREE WOMEN CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LEANN NEAL (CEO)
(904) 379-2540
Entity
Organization
Contact information
Practice address
5500 BLANDING BLVD, JACKSONVILLE, FL 32244-1946
(904) 379-2540
(904) 379-2541
Mailing address
5500 BLANDING BLVD, JACKSONVILLE, FL 32244-1946
(904) 379-2540
(904) 379-2541
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
01/04/2022
Last updated
09/15/2026
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