Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAYSON DOUGLAS HICKS, PA
ActiveMedical Physician Assistant · CHAMPLIN, MN
Registration Details
- NPI Number
- 1881968972
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2012 (14.125794714996 yrs)
- Last Updated
- Mar 7, 2012
- License
-
PA954 (NV)
Practice Information
- Address
-
113 W RIVER PKWYCHAMPLIN, MN, 553161316Browse MN providers · Browse ZIP 55316
- Phone
- 6128012745
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CHAMPLIN, MN
| Name | Credential | NPI |
|---|---|---|
| LINDA C CHARLES | PA-C | 1255083200 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.