Individual provider · Type 1 NPI

Penni F. Jackson, PAC

Medical Physician Assistant · Lincoln, NE

NPI number 1023103397 Active

Practice location

6940 Van Dorn St Ste 201
Lincoln, NE 68506-2858

Fax (402) 512-9133

Mailing address

4445 S 86th St # 100
Lincoln, NE 68526-9225

Other practice locations

  • 4445 S 86th St # 100, Lincoln, NE 68526-9225 · (402) 414-4200

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1137 (NE)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1023103397

Penni F. Jackson, PAC's National Provider Identifier is 1023103397, issued on Oct 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Apr 7, 2025.