Healthcare Provider Details

I. General information

NPI: 1518490424
Provider Name (Legal Business Name): JENNIFER JAYE BROOKS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER B BURRIS FNP-C

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
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: 406-435-2770
  • Fax:
Mailing address:
  • Phone: 406-435-2770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNUR-APRN-LIC-177068
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-177068
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP133483
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: