Individual provider · NPI-1

Jayla Nicole Blair

Registered Nurse, General Practice · Clearwater, FL

NPI number1700725314
StatusActive
Last updated in NPPESMar 27, 2026

Details

NPI
1700725314
Entity type
Individual (NPI-1)
Name
Jayla Nicole Blair
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2026
Certification date
Mar 27, 2026
Last updated
Mar 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General PracticeRN9634520FLYes

Practice location

3090 Charles Ave
Clearwater, FL 33761-3361

Phone 727-218-8364

Mailing address

13575 Feather Sound Cir E Apt 1111
Clearwater, FL 33762-5544

Phone 727-509-9679

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