Individual
CODY KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(813) 836-1421
Mailing address
48 THORNBERRY RD, HENDERSONVILLE, NC 28792-0655
(813) 836-1421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11985
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020378
NC
Other
Enumeration date
05/29/2024
Last updated
04/26/2026
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