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

Nicole Rose Knisley, PA-C

Individual provider Medical Physician Assistant · NPI 1194011320

Nicole Rose Knisley, PA-C is a Medical Physician Assistant in Canton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1600 S Canton Center Rd #140
Canton, MI 48188-1992
Phone: (734) 398-7561
Fax: (734) 398-7566
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006025 (MI)

Record details

NPI number1194011320
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 27, 2011
Last updated in NPPESJuly 28, 2014

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