Healthcare Provider Details

I. General information

NPI: 1578162590
Provider Name (Legal Business Name): TAUNA M JEFFERY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 29TH ST
BILLINGS MT
59101-0905
US

IV. Provider business mailing address

801 N 29TH ST
BILLINGS MT
59101-0905
US

V. Phone/Fax

Practice location:
  • Phone: 406-435-7330
  • Fax: 406-435-7339
Mailing address:
  • Phone: 406-435-7330
  • Fax: 406-435-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNUR-APRN-LIC-161835
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-161835
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberNUR-RN-LIC-48856
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: