LIFE TREE WOMEN CARE, INC.
NPI 1174284038
Nurse Practitioner - Primary Care in Jacksonville, FL

Active since January 04, 2022CLIA 10D2257908 · Microscopy
5500 BLANDING BLVD, JACKSONVILLE, FL 32244(904) 379-2540(904) 379-2541 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Jan 10, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2022).

About Life Tree Women Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE TREE WOMEN CARE, INC. (NPI 1174284038) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since January 2022. The organization holds a CLIA Microscopy certificate valid through April 12, 2028, maintains a secondary practice location in Jacksonville, and lists Jamie Neal, Owner, Medical Provider, as its authorized official.

NPPES Registry Identity

NPI1174284038
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIFE TREE WOMEN CARE, INC.
Location Address5500 BLANDING BLVDJacksonville, FL 32244-1946
Mailing Address5500 Blanding BlvdJacksonville, FL 32244-1946 · (904) 379-2540 · Fax (904) 379-2541
Fax(904) 379-2541
Organization SubpartNo
Authorized OfficialJamie NealOwner, Medical Provider · (904) 379-2540
Enumeration DateJanuary 4, 2022
Last NPPES UpdateOctober 2, 20235 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1174284038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · BirthingTaxonomy 261QB0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
5500 BLANDING BLVD, Jacksonville, FL 32244

Secondary Practice Location 1

Location 15300 N Pearl StJacksonville, FL 32208-5119 · Phone (904) 379-2540 · Fax (904) 379-2541

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2257908

Life Tree Women Care Inc · Jacksonville, FL
Active · expires Apr 12, 2028
CLIA Number10D2257908
Laboratory TypePractitioner Other
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorJamie Neal
Laboratory Phone(904) 575-4167
Laboratory LocationLife Tree Women Care Inc5500 Blanding Blvd, Jacksonville, FL 32244
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
5500 BLANDING BLVD
JACKSONVILLE, FL 32244
Advanced Practice Midwife
5500 BLANDING BLVD
JACKSONVILLE, FL 32244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Tree Women Care, Inc.'s NPI number?

The NPI number for Life Tree Women Care, Inc. is 1174284038. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Life Tree Women Care, Inc. located?

Life Tree Women Care, Inc. is located at 5500 Blanding Blvd, Jacksonville, FL 32244. The listed phone number is (904) 379-2540.

What is Life Tree Women Care, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Life Tree Women Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2257908) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Life Tree Women Care, Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Life Tree Women Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Tree Women Care, Inc. was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.