Scott Blackburn, NP

Individual Active
NPI 1003554494
Primary Care Nurse Practitioner Southgate, MI

NPI 1003554494 belongs to Scott Blackburn, NP, a primary care nurse practitioner with a practice location in Southgate, MI. The NPI was issued on May 25, 2022, and the record was last updated in NPPES on July 21, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 4704326782 (MI)

Practice location

11275 Allen Rd
Southgate, MI 48195-3380
Phone: (313) 383-7071

Local context

Active NPPES records list 199 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 41 of them within 10 miles.

The same primary taxonomy is listed by 444 in Michigan and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Scott Anthony Blackburn
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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