Individual provider · Type 1 NPI
Scott Anthony Blackburn, NP
Primary Care Nurse Practitioner · Southgate, MI
NPI number
1003554494
Active
Practice location
11275 Allen Rd
Southgate, MI 48195-3380
Fax (313) 383-7194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704326782 (MI) |
Primary Care Nurse Practitioner: Definition to come...
9 other providers at this address
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- Abigail Maguad Baluyot, AGPCNP-BCGerontology Nurse Practitioner Southgate, MI NPI 1437916210
- Badie BattiInternal Medicine Physician Southgate, MI NPI 1396320263
- Brendan McFarland, NURSE PRACTITIONERFamily Medicine Physician Southgate, MI NPI 1356276075
- Eid Tahsine Eid, FNP-BCFamily Nurse Practitioner Southgate, MI NPI 1013509553
- Ghassan Amir Atto, MDFamily Medicine Physician Southgate, MI NPI 1558561720
- Jazminn Monson, FNP-CFamily Nurse Practitioner Southgate, MI NPI 1073390878
- Kathleen M. Hartwell-King Iv, FNP-BCFamily Nurse Practitioner Southgate, MI NPI 1225520919
- Neda Fares, NPGerontology Nurse Practitioner Southgate, MI NPI 1659226595
Other primary care nurse practitioner providers in Southgate
About NPI 1003554494
Scott Anthony Blackburn, NP's National Provider Identifier is 1003554494, issued on May 25, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Southgate, MI. The record was last updated on Jul 21, 2026.