Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Timian

Individual provider Registered Nurse · NPI 1639605710

Jake Timian is a Registered Nurse in Minneapolis, Minnesota. Licensed in Minnesota and Tennessee. Registered with an NPI since 2017.

Licensed in
MN, TN
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10110 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2510065 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 23464 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 217578 (TN)

Record details

NPI number1639605710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESOctober 12, 2025
Certification dateOctober 12, 2025
Mailing address410 Church St Se, Minneapolis, MN 55455-0222

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