The M.P.H. Life, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE M.P.H. LIFE, LLC

Doing business as

The MPH Life

Practice address

11111 San Jose Blvd BLDG 56-1048
Jacksonville, FL 32223-7946

Phone

(904) 370-3446

Fax

(904) 367-8760

NPI assigned

Apr 30, 2024

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel A Noameshie, APRN

Title

Owner

Phone

(904) 370-3446

Specialties & licenses 1

Addresses

Other names 1

• The MPH Life Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1811744733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 SAN JOSE BLVD BLDG 56-1048",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237946",
            "telephone_number": "904-370-3446",
            "fax_number": "904-367-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 SAN JOSE BLVD BLDG 56-1048",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237946",
            "telephone_number": "904-370-3446",
            "fax_number": "904-367-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE M.P.H. LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "NOAMESHIE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-370-3446",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The MPH Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.