MRS. DETRESE DENESE MIXON (CNA,CMA) – Community Health Worker, NPI 1891964243

MRS. DETRESE DENESE MIXON (CNA,CMA) is a healthcare provider. based in Jacksonville, Florida. specializing in Community Health Worker. They hold the professional credentials CNA,CMA. They hold a License No. CNA 112950 (FL). The NPI Number for MRS. DETRESE DENESE MIXON (CNA,CMA) is 1891964243

Main info

Female
Sole Proprietor
Name
MRS. DETRESE DENESE MIXON (CNA,CMA)
NPI
1891964243
Phone
(904) 766-5815
Address
1936 MEHARRY AVE
Enumeration Date
29 February 2008
Last Update Date
29 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. DETRESE DENESE MIXON (CNA,CMA)

  • 1936, Meharry Avenue, Royal Terrace, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322092622

    Phone: (904) 766-5815

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Reviews

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Frequently asked questions

What is the standard ID for MRS. DETRESE DENESE MIXON (CNA,CMA) in the U.S.?
In the U.S., MRS. DETRESE DENESE MIXON (CNA,CMA) is identified by NPI 1891964243.
Does the public listing show MRS. DETRESE DENESE MIXON (CNA,CMA) as active?
MRS. DETRESE DENESE MIXON (CNA,CMA)'s NPI record reflects an active status in NPPES.
What services align with MRS. DETRESE DENESE MIXON (CNA,CMA)'s listing?
MRS. DETRESE DENESE MIXON (CNA,CMA)'s public classification highlights Community Health Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. DETRESE DENESE MIXON (CNA,CMA)?
MRS. DETRESE DENESE MIXON (CNA,CMA) shows a connection to Jacksonville, Florida in registry-derived data.
Can I export MRS. DETRESE DENESE MIXON (CNA,CMA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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