Kelly Prine Alexander, AGACNP-BC
Nurse Practitioner, Acute Care in Jackson, MS. Individual provider (NPI-1).
NPI number1104277136
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1104277136
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Prine Alexander
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2016
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 901619 | MS | Yes |
Practice location
969 Lakeland DrJackson, MS 39216-4606
Phone 601-200-4466 · Fax 601-200-3651
Mailing address
Po Box 23457Jackson, MS 39225-3457
Phone 601-200-4466 · Fax 601-200-3651
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All 86 Acute Care Nurse Practitioner providers in Jackson · All 8,702 providers in Jackson
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