Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIARA SOUTHERLAND BLACKBURN
ActiveSIARA SOUTHERLAND BLACKBURN is a Physician Assistant healthcare provider located in WILMINGTON, North Carolina. NPI 1063228468 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILMINGTON, NC
Registration Details
- NPI Number
- 1063228468
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2024 (1.4904959670019 yrs)
- Last Updated
- Jan 18, 2026
- License
-
0010-15739 (NC)
Practice Information
- Address
-
3787 SHIPYARD BLVDWILMINGTON, NC, 284036148Browse NC providers · Browse ZIP 28403
- Phone
- 9103323800
- Fax
- 9102510421
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY BROWN FARMER | PA-C | 1851395198 |
| DANIEL IRVING SHAPIRO | PA-C | 1902805906 |
| JOHN T HOARD | P.A. | 1598764599 |
| KYRA F WILLIAMS | PA-C | 1992704902 |
| LUTHER W FREAS | PA-C | 1205835204 |
| DANIEL ANDREW CULBRETH | PA | 1982606638 |
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.