Individual provider · Type 1 NPI

Cody Knisley, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Concord, NC

NPI number 1407696172 Active

Practice location

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781

Mailing address

48 Thornberry Rd
Hendersonville, NC 28792-0655

Other practice locations

  • 2179 4th St Ste 2B, White Bear Lake, MN 55110-3041 · (651) 705-7872

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X11985 (MN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5020378 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1407696172

Cody Knisley, PMHNP-BC's National Provider Identifier is 1407696172, issued on May 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Concord, NC. The record was last updated on Apr 26, 2026.