# CODY KNISLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407696172
- **Gender:** Man
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 11985 | MN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5020378 | NC | Yes |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 04/26/2026