Provider Demographics
NPI:1205236346
Name:JOHNS, CHELSEA (RD LDN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:JOHNS
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 BRISBAN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2229
Mailing Address - Country:US
Mailing Address - Phone:814-360-9196
Mailing Address - Fax:
Practice Address - Street 1:3916 BRISBAN ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2229
Practice Address - Country:US
Practice Address - Phone:814-360-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005033133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered