Individual
CHRISTENE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1006 W MAIN ST, BOZEMAN, MT 59715-3219
(406) 414-4800
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
406
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096203
BCBS PIN
MT
01
—
4305131
MDCD PIN
MT
Enumeration date
09/17/2006
Last updated
04/10/2025
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