Scott Anthony Blackburn is a Southgate, Michigan based nurse practitioner who is specialized as Primary Care nurse. Active license number of Scott Anthony Blackburn is 4704326782 for Primary Care in Michigan. His current practice location is 11275 Allen Rd, Southgate. Patients can reach him at 313-383-7071 or can fax him at 313-383-7194. Scott Anthony Blackburn is NP with specialization in Primary Care and his NPI number (Unique professional ID assigned by NPPES) is 1003554494. Scott Anthony Blackburn is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Scott Anthony Blackburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003554494
NPI Enumeration Date:
25 May, 2022
NPI Last Update On:
19 Sep, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Scott Anthony Blackburn are as mentioned below.
License Number
Specialization
State
Status
4704326782
Primary Care
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Scott Anthony Blackburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4704326782
Other
Michigan
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Scott Anthony Blackburn 11275 Allen Rd, Southgate, Michigan
Zip:
48195-3380
Phone Number:
313-383-7071
Fax Number:
313-383-7194
Patients can reach Scott Anthony Blackburn at 11275 Allen Rd, Southgate, Michigan or can call to book an appointment on 313-383-7071.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.