Elite Aesthetics Guide

Jamie Decker

DNP, FNP-BC

Top 10 Injector in Montana
Top Deck Medical Aesthetics · Billings, Montana

About Jamie Decker

Jamie Decker, DNP, FNP-BC, is a doctorally prepared, board-certified Family Nurse Practitioner and the founder and owner of Top Deck Medical Aesthetics and Wellness (TDMA) in Billings, Montana, with an additional location in Butte. She has 13 years of experience in medicine spanning from acute care inpatient medicine to outpatient urgent care, aesthetics, and primary care services. Jamie graduated from Montana Tech in Butte with her Bachelor of Science in Nursing in 2011 and from Montana State University in 2017 with her Doctor of Nursing Practice (DNP). She opened Top Deck in March 2020 and was previously working as a hospitalist provider at the hospital in Billings when she got Botox for the first time at age 32 and knew immediately that she wanted to offer the service to others. In 2019 and early 2020 she completed certifications for neurotoxin injections and hyaluronic acid fillers in Denver, Colorado. She has also trained with Sarah Berg, RN, of Bespoke Beauty in Missoula for advanced injection techniques. Jamie invests heavily in continued education, traveling to Seattle, Miami, and Los Angeles for hands-on training. TDMA offers Botox, Dysport, dermal fillers, Sculptra, PRFM, EZ Gel, IPL laser therapy, laser hair removal, microneedling with InMode, facials, chemical peels, dermaplaning, DiamondGlow, spray tans, IV therapy, brow services, and medical-grade skincare from ZO Skin Health, SkinBetter Science, and Rhonda Allison. In Butte, TDMA has expanded to include direct primary care and wellness services.

What Sets Them Apart

DNP (Doctor of Nursing Practice) from Montana State University plus FNP-BC board certification
ICU hospitalist experience in Billings through COVID-19 pandemic
Multi-city owner-operator across Billings and Butte
Cadaver anatomy training through LAMCA
Expanding into direct primary care in Butte
Invested over $400
000 in historic Uptown Butte building renovation

Top Deck Medical Aesthetics

Billings, Montana(406) 302-2808

Recognition History

2026

Top 10 Injector in Montana

Elite Aesthetics Guide 2026

Independently Evaluated & Recognized