The Great Island Path was a major trail that ran north along the Susquehanna River from the Saponi village of Shamokin at modern Sunbury, fording the river there and following the west bank of the West Branch Susquehanna River north until White Deer Hole valley. The path turned west at Allenwood and followed White Deer Hole Creek until about the present location of Elimsport. There it headed northwest, crossed North White Deer Ridge and passed west through the Nippenose valley, then turned north and crossed Bald Eagle Mountain via McElhattan Creek and ran along the south bank of the river to the Great Island (near the present day city of Lock Haven). The stretch from the mouth of the creek to the Nippenose valley is approximately followed by Route 44. From the Great Island, the Great Shamokin Path continued further west to the modern boroughs of Clearfield and Kittanning, the last on the Allegheny River.