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Individual
JAKE TIMIAN
Active
Individual
JAKE TIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217578
TN
163W00000X
Registered Nurse
2510065
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10110
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
23464
TN
Other
Enumeration date
05/10/2017
Last updated
10/12/2025
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