MRS. PENNI F JACKSON (NPI# 1023103397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023103397 |
| Entity Type | Individual |
| Full Name | MRS. PENNI F JACKSON |
| Other Name | PENNI F HORWART |
| Credential | PAC |
| Practice Address |
5000 N 26th St Suite 200 Lincoln NE 68521-4749 |
| Mailing Address |
4445 S 86th St # 100 Lincoln NE 68526-9225 |
| Practice Telephone | 4024756656 |
| Practice Fax Number | 4027418418 |
| Mailing Telephone | 4024144200 |
| Mailing Fax Number | 4024144202 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1137 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4445 S 86th St # 100, Lincoln, NE 685269225 | 4024144200 | 4024144202 |
| Street Address |
5000 N 26TH ST SUITE 200 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68521-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154277 | Jerald Edward Rector | Family Medicine | 5000 N 26th St, Lincoln, NE 68521-4749 | 2006-04-19 |
| 1003221029 | Gabriel Jefferson | Physician Assistant | 5000 N 26th St, Suite 100, Lincoln, NE 68521-4749 | 2014-06-28 |
| 1497055297 | Lincoln Physician Network LLC | Durable Medical Equipment & Medical Supplies | 5000 N 26th St, Suite 300, Lincoln, NE 68521-4749 | 2010-10-26 |
| 1902117294 | Kylie L Thomas Shipley | Physical Therapist | 5000 N 26th St, Suite 400, Lincoln, NE 68521-4749 | 2010-07-01 |
| 1023255643 | Superior Medical Imaging, LLC | Radiology | 5000 N 26th St, Lincoln, NE 68521-4749 | 2009-01-20 |
| 1164577730 | The Physician Network | Durable Medical Equipment & Medical Supplies | 5000 N 26th St, Suite 400, Lincoln, NE 68521-4749 | 2007-01-24 |
| 1831291483 | David R Durand | Preventive Medicine | 5000 N 26th St, Suite 200, Lincoln, NE 68521-4749 | 2006-09-03 |
| 1174625875 | Thomas O Martin | General Practice | 5000 N 26th St, Ste 300, Lincoln, NE 68521-4749 | 2006-09-02 |
| 1447368428 | Mary J Curran | Physical Therapist | 5000 N 26th St, Ste 400, Lincoln, NE 68521-4749 | 2006-08-29 |
| 1740398767 | Kirk W Laughlin | Physical Therapist | 5000 N 26th St, Ste 400, Lincoln, NE 68521-4749 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
| 1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
| 1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
| 1093089401 | Nancy L Dostal | Pharmacist | 1404 Superiort St., Lincoln, NE 68521 | 2012-03-02 |
| 1225274301 | Nicole Ann Ford | Dietitian, Registered | 5020 N. 27th St, Hy-vee, Lincoln, NE 68521 | 2008-12-19 |
| 1972769685 | Concentra Health Services, Inc. | Clinic/Center | 4900 N 26th Street, #104, Lincoln, NE 68521 | 2008-08-01 |
| 1649446261 | Megan Kristin Classen | Occupational Therapist | 5000 N 26th St Ste 400, Lincoln, NE 68521 | 2008-05-03 |
| 1720278526 | David Bruce Hilsabeck | Counselor | 6109 Nw 9th St, Lincoln, NE 68521 | 2007-07-27 |
| 1871648386 | Douglas C Rienks | Optometrist | 2550 Superior Street, Suite 150, Lincoln, NE 68521 | 2007-01-24 |
| 1518014869 | Carol J Niemann | Counselor | 4000 N 23erd St., Lincoln, NE 68521 | 2007-01-05 |
| Find all providers in zip 68521 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1033327721 | Cheryl R Flinn | Physician Assistant | 6891 A St, Ste 210, Lincoln, NE 68510-4111 | 2007-05-18 |
| 1073530861 | Stephanie M Maclary | Physician Assistant | 3 Wake Robin Rd, Lincoln, RI 02865-4294 | 2006-07-16 |
| 1447201389 | Douglas Phelps | Physician Assistant | 4210 Pioneer Woods Dr Ste A, Lincoln, NE 68506-7561 | 2006-05-15 |
| 1073573184 | Lynn Colleen Mclaughlin | Physician Assistant | 6900 Van Dorn St, Suite 24, Lincoln, NE 68506-2882 | 2006-03-23 |
| 1922073618 | Jackie M Hinzman | Physician Assistant | 2662 Cornhusker Hwy, Suite 100, Lincoln, NE 68521-1464 | 2006-02-17 |
| 1437136405 | Jill S Rine | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2005-12-29 |
| 1407857253 | Joan Marie George | Physician Assistant | 4600 Valley Rd, Siute 200, Lincoln, NE 68510-4855 | 2005-08-02 |
| 1942827415 | Krista Dawn Patefield | Physician Assistant | 8207 Northwoods Dr Ste 100, Lincoln, NE 68505-2093 | 2020-07-01 |
| 1932748910 | Mason Beel | Physician Assistant | 6911 Van Dorn St Ste 1, Lincoln, NE 68506-6801 | 2019-12-23 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.