Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Davis, PA-C

Individual provider Medical Physician Assistant · NPI 1306170808

Jason Davis, PA-C is a Medical Physician Assistant in St Louis Park, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone: (952) 883-3150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 705 Pleasant Ave S, Park Rapids, MN 56470-1440 — (218) 732-2800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10786 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10786 (MN)

Record details

NPI number1306170808
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2009
Last updated in NPPESMarch 17, 2018

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