Provider Demographics
NPI:1851826408
Name:HIGGS, JASON E (PA)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:HIGGS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:508 STOCKTRAIL AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-3582
Mailing Address - Country:US
Mailing Address - Phone:307-686-1413
Mailing Address - Fax:307-688-7940
Practice Address - Street 1:508 STOCKTRAIL AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-3582
Practice Address - Country:US
Practice Address - Phone:307-686-1413
Practice Address - Fax:307-688-7940
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2025-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
WYPA798363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant