Scott Anthony Blackburn
NP | Nurse Practitioner - Primary Care
11275 Allen Rd, Southgate
Michigan, 48195-3380
313-383-7071
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.
| Name: | Scott Anthony Blackburn |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Male |
| Credentials: | NP |
| Practice Address: | 11275 Allen Rd, Southgate,
Michigan, 48195-3380 |
| Phone: | 313-383-7071 |
| Fax: | 313-383-7194 |
Professional Identification Codes:
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 Nov, 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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.