Healthcare Provider Details

I. General information

NPI: 1013669480
Provider Name (Legal Business Name): AMBERA DAWN PEARSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 O ST STE 109
LINCOLN NE
68510-2565
US

IV. Provider business mailing address

1068 S 8TH ST
ASHLAND NE
68003-1904
US

V. Phone/Fax

Practice location:
  • Phone: 531-289-6547
  • Fax: 531-289-6546
Mailing address:
  • Phone: 402-227-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2690
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: