Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jodi L Kneisly, CRNP

Individual provider Gerontology Nurse Practitioner · NPI 1790430502

Jodi L Kneisly, CRNP is a Gerontology Nurse Practitioner in State College, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

330 Innovation Blvd Fl 2
State College, PA 16803-6611
Phone: (888) 731-8994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 429 4th Ave Fl 7, Pittsburgh, PA 15219-1500 — (888) 731-8994

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN556458 (PA)

Record details

NPI number1790430502
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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