DETRA L JACKSON
NPI 1558206359
Community Health Worker in Dallas, TX
About Detra L Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DETRA L JACKSON (NPI 1558206359) is an individual community health worker in Dallas, Texas and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses 6
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 Jackson's NPI number?
The NPI number for Detra Jackson is 1558206359. It was assigned to this individual provider in the NPPES registry on April 20, 2026.
Where is Detra Jackson located?
Detra Jackson practices at 1910 Pacific Ave Ste 20001046, Dallas, TX 75201. The listed phone number is (305) 988-7335.
What is Detra Jackson's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Detra Jackson was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.