Provider Demographics
NPI:1093951766
Name:KNIGHT, JENNIFER MARIE (SLP)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:KNIGHT
Other - Last Name:SIERRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28082-0458
Mailing Address - Country:US
Mailing Address - Phone:336-327-4136
Mailing Address - Fax:
Practice Address - Street 1:3114 SILER CTY SNOW CP RD
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-7232
Practice Address - Country:US
Practice Address - Phone:336-327-4136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8337235Z00000X
NY018455235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist