Individual
CHEYENNE RAI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 WILSON ST STE 109, CARLISLE, PA 17013-3697
(717) 249-1929
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061685
PA
363AM0700X
Medical Physician Assistant
MA061685
PA
Other
Enumeration date
09/02/2020
Last updated
05/18/2026
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