Organization
LIFE TREE WOMEN CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE NEAL APRN, CNM (OWNER, MEDICAL PROVIDER)
(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
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
10/02/2023
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