Provider Demographics
NPI:1386206936
Name:TERRELL, JENNIFER A (NP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:TERRELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N STE 335W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7590
Mailing Address - Country:US
Mailing Address - Phone:406-237-8808
Mailing Address - Fax:406-237-8810
Practice Address - Street 1:2900 12TH AVE N STE 335W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7590
Practice Address - Country:US
Practice Address - Phone:406-237-8808
Practice Address - Fax:406-237-8810
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT145619363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner