Individual
JENNIFFER BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
309 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9309
(928) 453-2727
(833) 450-5461
Mailing address
309 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9309
(928) 453-1970
(833) 450-5461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
254706
AZ
Other
Enumeration date
10/30/2015
Last updated
10/14/2025
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