Mrs. Kelly Prine Alexander is a Jackson, Mississippi based nurse practitioner with 9 years of experience in Acute Care. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Kelly Prine Alexander is 901619 for Acute Care in Mississippi. Her current practice location is 969 Lakeland Dr, Jackson. Patients can reach her at 601-200-4466 or can fax her at 601-200-3651. Mrs. Kelly Prine Alexander is AGACNP-BC with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1104277136. Mrs. Kelly Prine Alexander is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mrs. Kelly Prine Alexander speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4284914631
Enrollment ID:
I20161201000956
NPI Number:
1104277136
NPI Enumeration Date:
30 Jun, 2016
NPI Last Update On:
20 Jul, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kelly Prine Alexander are as mentioned below.
License Number
Specialization
State
Status
901619
Acute Care
Mississippi
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Kelly Prine Alexander is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St. Dominic Jackson Memorial (4385531847)
32
St. Dominic Medical Associates Llc (0446303168)
118
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kelly Prine Alexander such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P01770661
Other
Mississippi
RAILROAD MEDICARE
542520YKHV
Other
Mississippi
MEDICARE
07356036
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Kelly Prine Alexander Po Box 23457, Jackson, Mississippi
Zip:
39225-3457
Phone Number:
601-200-4466
Fax Number:
601-200-3651
Patients can reach Mrs. Kelly Prine Alexander at 969 Lakeland Dr, Jackson, Mississippi or can call to book an appointment on 601-200-4466.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.