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

Mrs. Kelly Prine Alexander, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1104277136

Mrs. Kelly Prine Alexander, AGACNP-BC is an Acute Care Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-4466
Fax: (601) 200-3651
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 901619 (MS)

Record details

NPI number1104277136
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

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