DETRA L JACKSON
NPI 1558206359
Community Health Worker in Dallas, TX

Active since April 20, 2026
1910 PACIFIC AVE STE 20001046, DALLAS, TX 75201(305) 988-7335 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1558206359
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameDETRA L JACKSON
Location Address1910 PACIFIC AVE STE 20001046Dallas, TX 75201-4529
Mailing Address1910 Pacific Ave Ste 20001046Dallas, TX 75201-4529 · (305) 988-7335
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1558206359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedDriverTaxonomy 172A00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
1910 PACIFIC AVE STE 20001046, Dallas, TX 75201

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.