Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Anthony Blackburn, NP

Individual provider Primary Care Nurse Practitioner · NPI 1003554494

Scott Anthony Blackburn, NP is a Primary Care Nurse Practitioner in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

11275 Allen Rd
Southgate, MI 48195-3380
Phone: (313) 383-7071
Fax: (313) 383-7194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704326782 (MI)

Record details

NPI number1003554494
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address11275 Allen Rd, Southgate, MI 48195-3380

Other providers in Southgate