Alexander, Kelly Prine

Alexander, Kelly Prine is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Alexander, Kelly Prine can be contacted via phone (601) 200-4466.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-4466
Fax: (601) 200-3651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 901619 Mississippi

Profile Details

NPI number 1104277136
LBN Legal business name Alexander, Kelly Prine
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Jul 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104277136 NPPES
Mississippi Other P01770661 RAILROAD MEDICARE
Mississippi Other 542520YKHV RAILROAD MEDICARE
Mississippi MEDICAID 07356036 RAILROAD MEDICARE

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