Individual provider · Type 1 NPI

Jennifer Blaze Laclair, FNP-C

Family Nurse Practitioner · Watertown, NY

NPI number 1104433820 Active

Practice location

22734 Murrock Circle
Watertown, NY 13601

Call (315) 788-8701 Map

Fax (315) 804-6031

Mailing address

24874 County Route 16
Evans Mills, NY 13637-3107

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X346485 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104433820

Jennifer Blaze Laclair, FNP-C's National Provider Identifier is 1104433820, issued on Sep 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Watertown, NY. The record was last updated on Apr 28, 2026.