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

Prenna Doriz Jackson

Individual provider Physician Assistant · NPI 1164163432

Prenna Doriz Jackson is a Physician Assistant in Huntersville, North Carolina. Qualified in 2021, 5 years ago. Practices with Mindpath Care Centers North Carolina PLLC, a 115-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

9930 Kincey Ave Ste 100
Huntersville, NC 28078-6541
Phone: (855) 501-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1420 Us 52 N Ste B, Albemarle, NC 28001-2622 — (704) 237-4240

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12121 (NC)

Record details

NPI number1164163432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2022
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mindpath Care Centers North Carolina Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Huntersville