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1407696172
CODY KNISLEY
CONCORD, NC
NPI
1407696172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5020378)
Enumeration Date
2024-05-29
Last Update Date
2024-08-15
Business Address
CODY KNISLEY PMHNP-BC
101 CABARRUS AVE E STE 200
CONCORD, NC 28025-3781
Phone number: 813-836-1421
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Mailing Address
CODY KNISLEY PMHNP-BC
5001 BRIDGE ST APT 1501
TAMPA, FL 33611-3241
Phone number: 813-836-1421
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