Healthcare Provider Details

I. General information

NPI: 1265691083
Provider Name (Legal Business Name): JANNA J VILEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANNA JO JOHANNS MD

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 SPRING HILL RD
HELENA MT
59601-6689
US

IV. Provider business mailing address

4126 SPRING HILL RD
HELENA MT
59601-6689
US

V. Phone/Fax

Practice location:
  • Phone: 651-270-6452
  • Fax:
Mailing address:
  • Phone: 651-270-6452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number50865
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: