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HomeProvidersSCOTT BLACKBURN NP

Nurse Practitioner, Primary Care

SCOTT BLACKBURN NP

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1003554494 · enumerated 2022-05-25 · record updated 2026-07-21. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 11275 ALLEN RD, SOUTHGATE, MI, 48195-3380 (313) 383-7071 Fax (313) 383-7194 Google Maps Apple Maps OpenStreetMap
Practice location 11275 ALLEN RD, SOUTHGATE, MI, 48195-3380 (313) 383-7071 Fax (313) 383-7194 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Primary Care 363LP2300X · Primary · License 4704326782 MI

In this directory

MI Wayne County Southgate Nurse Practitioner, Primary Care

Locations and evidence

Practice location SOUTHGATE, MI, 481953380
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.