MEDICARE: MRS. JAMIE ELIZABETH DECKER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	NUR-APRN-LIC-127183	MT
2	363L00000X	Nurse Practitioner	NUR-APRN-LIC-127183	MT

General Provider Information

NPI Number	:	1922525518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE ELIZABETH DECKER FNP-C

Provider Business Mailing Address
First Line	:	160 W GRANITE ST APT A
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-9261
Country	:	US
Telephone Number	:	406-490-5220
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 W GRANITE ST APT A
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-9261
Country	:	US
Telephone Number	:	406-302-2808
Fax Number	:	406-299-3323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	12/04/2024

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