Individual provider · Type 1 NPI

Siara Southerland Blackburn

Physician Assistant · Wilmington, NC

NPI number 1063228468 Active

Practice location

3787 Shipyard Blvd
Wilmington, NC 28403-6148

Call (910) 332-3800 Map

Fax (910) 251-0421

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Other practice locations

  • PO Box 563, Buies Creek, NC 27506-0563 · (910) 742-7823

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X0010-15739 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063228468

Siara Southerland Blackburn's National Provider Identifier is 1063228468, issued on Dec 10, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, NC. The record was last updated on Jan 18, 2026.