Individual provider · Type 1 NPI

Kelly Prine Alexander, AGACNP-BC

Acute Care Nurse Practitioner · Jackson, MS

NPI number 1104277136 Active

Practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Call (601) 200-4466 Map

Fax (601) 200-3651

Mailing address

PO Box 23457
Jackson, MS 39225-3457

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	901619 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104277136

Kelly Prine Alexander, AGACNP-BC's National Provider Identifier is 1104277136, issued on Jun 30, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Jul 20, 2020.