Individual
AMANDA JOY KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-9102
Mailing address
844 WILLARD ST, WASHINGTON COURT HOUSE, OH 43160-2157
(740) 463-4006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F04180325
OH
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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