Individual
JODI L KNEISLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
330 INNOVATION BLVD FL 2, STATE COLLEGE, PA 16803-6611
(888) 731-8994
Mailing address
429 4TH AVE FL 7, PITTSBURGH, PA 15219-1500
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN556458
PA
Other
Enumeration date
02/21/2022
Last updated
05/13/2026
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