IndividualActive
Jenna Marie Johnson, HIS
NPI 1962787903 · Specialist · Kalispell, MT
Provider details
- NPI number
- 1962787903
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- HIS
- Sex
- Female
- Sole proprietor
- No
- License
- HAD387 (MT)
Specialties & taxonomies
Other Service Providers
Practice location
10 Three Mile Dr
Kalispell, MT 59901-3034
Phone: (406) 257-2273
Approximate (ZIP-level) locationGet directions
Mailing address
10 Three Mile Dr
Kalispell, MT 59901-3034
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2020-08-27
- Certified
- 2020-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.