# LIFE TREE WOMEN CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174284038
- **Authorized official:** JAMIE LEANN NEAL (CEO)
- **Authorized official phone:** (904) 379-2540

## Contact information

- **Practice address:** 5500 BLANDING BLVD, JACKSONVILLE, FL 32244-1946
- **Practice address phone:** (904) 379-2540
- **Practice address fax:** (904) 379-2541
- **Mailing address:** 5500 BLANDING BLVD, JACKSONVILLE, FL 32244-1946
- **Mailing address phone:** (904) 379-2540
- **Mailing address fax:** (904) 379-2541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 261QB0400X | Birthing Clinic/Center | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 09/15/2026