Provider Demographics
NPI:1821872284
Name:MCKNIGHT, JODI (TRANSPORTATION)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2721
Mailing Address - Country:US
Mailing Address - Phone:717-675-9866
Mailing Address - Fax:
Practice Address - Street 1:26 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2721
Practice Address - Country:US
Practice Address - Phone:717-675-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)