Individual provider · Type 1 NPI

Jill Nicole Lyle, CNP

Nurse Practitioner · Minneapolis, MN

NPI number 1376788968 Active

Practice location

2833 Chicago Ave
Minneapolis, MN 55407-1319

Fax (763) 577-7800

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP27 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376788968

Jill Nicole Lyle, CNP's National Provider Identifier is 1376788968, issued on Dec 10, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 29, 2023.