Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Penni F Jackson, PAC

Individual provider Medical Physician Assistant · NPI 1023103397

Mrs. Penni F Jackson, PAC is a Physician Assistant in Lincoln, Nebraska. Qualified in 2000, 26 years ago. Practices with Cardiovascular Clinic of Nebraska, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
26
Licensed in
NE
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

6940 Van Dorn St Ste 201
Lincoln, NE 68506-2858
Phone: (402) 413-6363
Fax: (402) 512-9133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1137 (NE)

Record details

NPI number1023103397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Cardiovascular Clinic Of Nebraska — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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