LIFE TREE WOMEN CARE INC. NPI 1174284038

NPI Information

NPI: 1174284038
Provider Name: LIFE TREE WOMEN CARE, INC.
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2257908

Address:
5500 BLANDING BLVD
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 379-2540
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LIFE TREE WOMEN CARE, INC. is a primary care nurse practitioner in Jacksonville, FL. LIFE TREE WOMEN CARE, INC. NPI is 1174284038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5500 BLANDING BLVD
JACKSONVILLE, FL
ZIP 32244-946
Phone: (904) 379-2540
Fax: (904) 379-2541

The provider's authorized official is Jamie Neal .
The authorized official title is Owner, Medical Provider and has the following contact phone number (904) 379-2540.

The CLIA number assigned to this NPI record is 10D2257908 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2022 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	No
2	261QB0400X	Clinic/Center	Birthing	No
3	261QP2300X	Clinic/Center	Primary Care	No
4	363LP2300X	Nurse Practitioner	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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