Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT ANTHONY BLACKBURN, NP
ActiveSCOTT ANTHONY BLACKBURN, NP is a Primary Care Nurse Practitioner healthcare provider located in SOUTHGATE, Michigan. NPI 1003554494 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · SOUTHGATE, MI
Registration Details
- NPI Number
- 1003554494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2022 (4.0334140844265 yrs)
- Last Updated
- Nov 19, 2025
- License
-
4704326782 (MI)
Practice Information
- Address
-
11275 ALLEN RDSOUTHGATE, MI, 481953380Browse MI providers · Browse ZIP 48195
- Phone
- 3133837071
- Fax
- 3133837194
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| CAILIN LASHAWN MCDANIEL | — | 1427806926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.