Healthcare Provider Details

I. General information

NPI: 1891611349
Provider Name (Legal Business Name): BLAIR LYNETT HUME APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 S 56TH ST STE 2
LINCOLN NE
68516-1891
US

IV. Provider business mailing address

5200 S 56TH ST STE 2
LINCOLN NE
68516-1891
US

V. Phone/Fax

Practice location:
  • Phone: 531-500-9055
  • Fax: 531-254-5262
Mailing address:
  • Phone: 531-500-9055
  • Fax: 531-254-5262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number116990
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: