Individual
JAKE TIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3211
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-1444
(612) 677-3211
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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