Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Detrese Denese Mixon, CNA, CMA

Individual provider Community Health Worker · NPI 1891964243

Mrs. Detrese Denese Mixon, CNA, CMA is a Community Health Worker in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

1936 Meharry Ave
Jacksonville, FL 32209-2622
Phone: (904) 766-5815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence CNA 112950 (FL)

Record details

NPI number1891964243
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA , CMA
Sole proprietorYes
NPI enumeratedFebruary 29, 2008
Last updated in NPPESFebruary 29, 2008

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