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MR. JAYSON DOUGLAS HICKS PA
NPI 1881968972
Physician Assistant - Medical in Champlin, MN

Active since March 07, 2012
113 W RIVER PKWY, CHAMPLIN, MN 55316(612) 801-2745 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jayson Douglas Hicks Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAYSON DOUGLAS HICKS PA (NPI 1881968972) is an individual medical provider in Champlin, Minnesota, licensed in Nevada (PA954) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1881968972
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JAYSON DOUGLAS HICKSCredential: PA
Location Address113 W RIVER PKWYChamplin, MN 55316-1316
Mailing Address113 W River PkwyChamplin, MN 55316-1316 · (612) 801-2745
Phone(612) 801-2745
Sole ProprietorNo
Enumeration DateMarch 7, 2012
✔ NPI 1881968972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NV · PA954
113 W RIVER PKWY, Champlin, MN 55316
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayson Hicks's NPI number?

The NPI number for Jayson Hicks is 1881968972. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Jayson Hicks located?

Jayson Hicks practices at 113 W River Pkwy, Champlin, MN 55316. The listed phone number is (612) 801-2745.

What is Jayson Hicks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jayson Hicks was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.