Healthcare Provider Details

I. General information

NPI: 1699764365
Provider Name (Legal Business Name): JONELLE JEAN KNAPP O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JONELLE JEAN NEFF O.D.

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL CAMPUS DRIVE
GOLDSBORO NC
27531-2301
US

IV. Provider business mailing address

2803 MEDICAL CAMPUS DRIVE
GOLDSBORO NC
27531-2301
US

V. Phone/Fax

Practice location:
  • Phone: 919-722-1869
  • Fax: 919-722-1769
Mailing address:
  • Phone: 919-722-1869
  • Fax: 919-722-1769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5484
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: