Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DETRESE DENESE MIXON, CNA,CMA
Active Sole ProprietorCommunity Health Worker · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1891964243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2008 (18.142641576727 yrs)
- Last Updated
- Feb 29, 2008
- License
-
CNA 112950 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1936 MEHARRY AVEJACKSONVILLE, FL, 322092622Browse FL providers · Browse ZIP 32209
- Phone
- 9047665815
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DIEDRE Y COLSON | — | 1841476843 |
| LA QUENDA MOSBY PHARR | — | 1992979777 |
| MR. ROELL T MILBRY JR. | — | 1245490796 |
| MS. GAYNELL L LIVINGSTON-HODGES | MEDICAID PROVIDER | 1558526145 |
| JULIA MONIQUE MENEFEE | — | 1831407808 |
| SHIRLEY ANN ARLINE | — | 1891098737 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.