MS. DETRA LA'QUEL HUMPHRIES RN
NPI 1033805569
Registered Nurse - Addiction (Substance Use Disorder) in Jackson, MS

Active since April 17, 2023
1935 LAKELAND DR STE 900, JACKSON, MS 39216(601) 718-2487 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Detra La'quel Humphries Rn NPPES

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

MS. DETRA LA'QUEL HUMPHRIES RN (NPI 1033805569) is an individual addiction (substance use disorder) provider in Jackson, Mississippi, licensed in Mississippi (R865122) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1033805569
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameMS. DETRA LA'QUEL HUMPHRIESCredential: RN
Location Address1935 LAKELAND DR STE 900Jackson, MS 39216-5028
Mailing Address1935 Lakeland Dr Ste 900Jackson, MS 39216-5028 · (601) 718-2487
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
NPI 1033805569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License Licensed in MS · R865122
1935 LAKELAND DR STE 900, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Counselor (Addiction (Substance Use Disorder))
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Licensed Practical Nurse
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Counselor (Addiction (Substance Use Disorder))
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Preventive Medicine (Addiction Medicine)
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Licensed Practical Nurse
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Clinic/Center (Methadone)
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Counselor (Addiction (Substance Use Disorder))
1935 LAKELAND DR STE 900
JACKSON, MS 39216

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 Detra Humphries's NPI number?

The NPI number for Detra Humphries is 1033805569. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Detra Humphries located?

Detra Humphries practices at 1935 Lakeland Dr Ste 900, Jackson, MS 39216. The listed phone number is (601) 718-2487.

What is Detra Humphries's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Detra Humphries was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.