JENNIFER BLAZE LACLAIR FNP-C
NPI 1104433820
Nurse Practitioner - Family in Watertown, NY

Active since September 27, 2020
22734 MURROCK CIRCLE, WATERTOWN, NY 13601(315) 788-8701(315) 804-6031 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Sep 28, 2020, Sep 27, 2020 (3 updates tracked since 2020).

About Jennifer Blaze Laclair Fnp-c NPPES

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

JENNIFER BLAZE LACLAIR FNP-C (NPI 1104433820) is an individual family provider in Watertown, New York, licensed in New York (346485) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1104433820
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER BLAZE LACLAIRCredential: FNP-C
Location Address22734 MURROCK CIRCLEWatertown, NY 13601
Mailing Address24874 County Route 16Evans Mills, NY 13637-3107 · (315) 767-3387
Fax(315) 804-6031
Sole ProprietorYes
Enumeration DateSeptember 27, 2020
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1104433820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 346485
22734 MURROCK CIRCLE, Watertown, NY 13601

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 Jennifer Laclair's NPI number?

The NPI number for Jennifer Laclair is 1104433820. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Where is Jennifer Laclair located?

Jennifer Laclair practices at 22734 Murrock Circle, Watertown, NY 13601. The listed phone number is (315) 788-8701.

What is Jennifer Laclair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Laclair was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.