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

Mr. Mason Jay Stickney

Individual provider Physician Assistant · NPI 1558184200

Mr. Mason Jay Stickney is a Physician Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

2001 Vail Ave Ste 200A
Charlotte, NC 28207-1222
Phone: (704) 323-2564
Fax: (704) 323-3792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16364 (NC)

Record details

NPI number1558184200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 1, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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