Active NPIOrganization

Nurse Practitioner Professional Resources

Nurse Practitioner, Adult Health in Blackwood, New Jersey

NPI Number1558516260
Practice location
4361 Route 42, Blackwood, NJ 08012-1794
Fax
856-728-3513
Last updated
October 26, 2021

Nurse Practitioner Professional Resources is a healthcare organization based in Blackwood, NJ. Nurse Practitioner Professional Resources practices in Blackwood, NJ. The NPI Number for Nurse Practitioner Professional Resources is 1558516260 and holds a License No. 26NJ00097200 (NJ). The current practice location address for Nurse Practitioner Professional Resources is 4361 Route 42, Blackwood, NJ 08012-1794 and can be reached out via phone at 856-885-4579 and via fax at 856-728-3513.

Provider Profile Details

NPI Number
1558516260
Provider Name
Nurse Practitioner Professional Resources
Provider Entity Type
Organization
Address
4361 Route 42, Blackwood, NJ 08012-1794
Phone Number
856-885-4579
Fax Number
856-728-3513
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Organization Subpart
No
Authorized Official
Meshell Glasgow Mansor, APN · Owner · 856-885-4579
Provider Enumeration Date
November 21, 2008
Last Update Date
October 26, 2021
Certification Date
October 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4361 Route 42
Blackwood, NJ 08012-1794
Zip
08012-1794
Phone Number
856-885-4579
Fax Number
856-728-3513
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
202 Cabot CT
Deptford, NJ 08096-5114
City
Deptford
State
NJ
Zip
08096-5114
Phone Number
856-669-8488
Fax Number
856-513-1377

License Information

License Number
26NJ00097200
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nurse Practitioner Professional Resources?

The NPI number of Nurse Practitioner Professional Resources is 1558516260. It was assigned on November 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Nurse Practitioner Professional Resources?

Nurse Practitioner Professional Resources is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00097200.

Where does Nurse Practitioner Professional Resources practice?

The practice location is 4361 Route 42, Blackwood, NJ 08012-1794. The office can be reached at 856-885-4579 (phone) or 856-728-3513 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558516260 directly on the NPPES registry website.

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