Detrese Denese Mixon in Jacksonville - Community Health Worker
Detrese Denese Mixon - NPI 1891964243
Detrese Denese Mixon is a Community Health Worker in Jacksonville, Florida. Detrese Denese Mixon practices all healthcare services and medical treatments related to Community Health Worker. The NPI Number for Detrese Denese Mixon is 1891964243. The last update date is 2008-02-29.
Detrese Denese Mixon's current location address is 1936 Meharry Ave, Jacksonville, Florida. You can contact this provider via phone number 9047665815. The mailing address for Detrese Denese Mixon is 1936 Meharry Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Detrese Denese Mixon |
|---|---|
| Address | 1936 Meharry Ave, Jacksonville, Florida |
| Phone Number | 9047665815 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CNA,CMA |
NPI Number Detail
| NPI Number | 1891964243 |
|---|---|
| Provider Enumeration Date | 2008-02-29 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 1936 Meharry Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322092622 |
| Phone Number | 9047665815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health Worker |
|---|---|
| Taxonomy | 172V00000X |
| Licence No | CNA 112950 |
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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 a |
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Post Comment/ Review Below
What is the Detrese Denese Mixon's 1891964243?
The Detrese Denese Mixon's NPI (National Provider Identifier) Number is 1891964243. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Detrese Denese Mixon is physically located?
The Detrese Denese Mixon is situated at the following address: 1936 Meharry Ave, Jacksonville, FL 322092622.
What is Detrese Denese Mixon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Detrese Denese Mixon is Community Health Worker, and the taxonomy classification code that categorizes this area of expertise is 172V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891964243 to Detrese Denese Mixon?
The Centers for Medicare & Medicaid Services originally issued the 1891964243 to Detrese Denese Mixon on 2008-02-29.
As of what date were the details related to Detrese Denese Mixon most recently updated or revised?
The information pertaining to Detrese Denese Mixon, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-29.