Individual
CHEYNE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
309 BELMONT ST, WORCESTER, MA 01604-1059
(508) 368-3384
Mailing address
10 AUDUBON WAY, STURBRIDGE, MA 01566-2314
(508) 310-3530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2333067
MA
Other
Enumeration date
02/19/2024
Last updated
04/16/2024
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