Detra Jackson
NPI 1558206359 · Community Health Worker · Dallas, TX
Detra Jackson is a Community Health Worker provider in Dallas, TX (NPI 1558206359).
Provider details
- NPI number
- 1558206359
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Driver172A00000X
Other Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Frequently asked questions
- What is Detra Jackson's NPI number?
- Detra Jackson's National Provider Identifier (NPI) is 1558206359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Detra Jackson's specialty?
- Detra Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Detra Jackson located?
- Detra Jackson's practice location on file with NPPES is 1910 Pacific Ave Ste 20001046, Dallas, TX 75201-4529.
- What is Detra Jackson's phone number?
- The practice phone number listed in the NPPES registry for Detra Jackson is (305) 988-7335.
- Is Detra Jackson's NPI active?
- Yes — Detra Jackson's NPI (1558206359) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.