MRS. DETRESE DENESE MIXON CNA,CMA
NPI 1891964243
Community Health Worker in Jacksonville, FL
About Mrs. Detrese Denese Mixon Cna,cma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DETRESE DENESE MIXON CNA,CMA (NPI 1891964243) is an individual community health worker in Jacksonville, Florida, licensed in Florida (CNA 112950) and active in the NPI registry since February 2008.
NPPES Registry Identity
Specialties & Licenses
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 Detrese Mixon's NPI number?
The NPI number for Detrese Mixon is 1891964243. It was assigned to this individual provider in the NPPES registry on February 29, 2008.
Where is Detrese Mixon located?
Detrese Mixon practices at 1936 Meharry Ave, Jacksonville, FL 32209. The listed phone number is (904) 766-5815.
What is Detrese Mixon'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 Detrese Mixon was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.