Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jayson Douglas Hicks, PA

Individual provider Medical Physician Assistant · NPI 1881968972

Mr. Jayson Douglas Hicks, PA is a Medical Physician Assistant in Champlin, Minnesota. Licensed in Nevada. Registered with an NPI since 2012.

Licensed in
NV
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

113 W River Pkwy
Champlin, MN 55316-1316
Phone: (612) 801-2745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA954 (NV)

Record details

NPI number1881968972
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESMarch 7, 2012

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