JENNIFFER BLAIR FNP-C NPI 1265804124

NPI Information

  • NPI: 1265804124
  • Provider Name: JENNIFFER BLAIR, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 309 LAKE HAVASU AVE S
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Phone: (928) 453-2727

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NPI Details

Jenniffer Blair, FNP-C is a family nurse practitioner in Lake Havasu City, AZ with 2 years of experience. Jenniffer Blair, FNP-C NPI is 1265804124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

309 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ
ZIP 86403-309
Phone: (928) 453-2727
Fax: (833) 450-5461

The NPI 1265804124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 10/14/2025.

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 License Number License State Primary
1363LF0000XNurse PractitionerFamily254706ARIZONAYes

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: 11/21/2025

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