Individual provider · Type 1 NPI
Jessicca Lee Nystuen, APRN
Nurse Practitioner · Minneapolis, MN
Practice location
909 Fulton St SE
Minneapolis, MN 55455-4800
Mailing address
420 Delaware St SE
Minneapolis, MN 55455-0341
Other practice locations
- 2450 Riverside Ave, Minneapolis, MN 55454-1450 · (612) 672-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14654 (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 1740195577
Jessicca Lee Nystuen, APRN's National Provider Identifier is 1740195577, issued on Aug 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 17, 2026.