Provider Demographics
NPI:1922525518
Name:DECKER, JAMIE ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:DECKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:JAMIE
Other - Middle Name:ELIZABETH
Other - Last Name:WALDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1915 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-5444
Mailing Address - Country:US
Mailing Address - Phone:406-490-5220
Mailing Address - Fax:
Practice Address - Street 1:1233 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0127
Practice Address - Country:US
Practice Address - Phone:406-237-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-127183363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner