Individual provider · Type 1 NPI

Timothy Summerlin, LPN

Licensed Practical Nurse · Omaha, NE

NPI number 1386532349 Active

Practice location

3000 S 84th St
Omaha, NE 68124-3215

Call (402) 955-7777 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X15626 (NE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1386532349

Timothy Summerlin, LPN's National Provider Identifier is 1386532349, issued on Jun 26, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 26, 2025.