NURSE PRACTITIONER PROFESSIONAL RESOURCES
NPI 1558516260
Nurse Practitioner - Adult Health in Blackwood, NJ

Q: What is Nurse Practitioner Professional Resources's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since November 21, 2008

4361 ROUTE 42, BLACKWOOD, NJ 08012(856) 885-4579(856) 728-3513 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nurse Practitioner Professional Resources NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NURSE PRACTITIONER PROFESSIONAL RESOURCES (NPI 1558516260) is a healthcare organization registered as an adult health in Blackwood, New Jersey and active in the NPI registry since November 2008. The organization lists Meshell Glasgow Mansor, Owner, as its authorized official.

NPPES Registry Identity

NPI1558516260

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameNURSE PRACTITIONER PROFESSIONAL RESOURCES

Location Address4361 ROUTE 42Blackwood, NJ 08012-1794

Mailing Address202 Cabot CtDeptford, NJ 08096-5114 · (856) 669-8488 · Fax (856) 513-1377

Phone(856) 885-4579

Fax(856) 728-3513

Organization SubpartNo

Authorized OfficialMeshell Glasgow MansorOwner · (856) 885-4579

Enumeration DateNovember 21, 2008

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1558516260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00097200

4361 ROUTE 42, Blackwood, NJ 08012

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA M STOUGHTON NP

Nurse Practitioner (Family)