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MRS. KELLY PRINE ALEXANDER AGACNP-BC
NPI 1104277136
Nurse Practitioner - Acute Care in Jackson, MS

Active since June 30, 2016
969 LAKELAND DR, JACKSON, MS 39216(601) 200-4466(601) 200-3651 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Nov 1, 2016, Jun 30, 2016 (3 updates tracked since 2016).

About Mrs. Kelly Prine Alexander Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY PRINE ALEXANDER AGACNP-BC (NPI 1104277136) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (901619) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1104277136
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KELLY PRINE ALEXANDERCredential: AGACNP-BC
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 23457Jackson, MS 39225-3457 · (601) 200-4466 · Fax (601) 200-3651
Phone(601) 200-4466
Fax(601) 200-3651
Sole ProprietorNo
Enumeration DateJune 30, 2016
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1104277136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MS · 901619
969 LAKELAND DR, Jackson, MS 39216
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Other Identifiers 3

Medicaid07356036MS
OtherP01770661MS · Railroad Medicare
Other542520YKHVMS · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HNI MEDICAL SERVICES OF MISSISSIPPI, LLC
Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-6000
TAMECIA HERBERT NURSE PRACTITIONER
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 622-7749
ZACHARY HALLIWELL CRNA
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
BRITTANY BOYKIN FNP-C
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-5900
LISA PARKER
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
SARAH D BAKER
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
MARSHALL JAMES STOUT M.D.
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Alexander's NPI number?

The NPI number for Kelly Alexander is 1104277136. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Kelly Alexander located?

Kelly Alexander practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-4466.

What is Kelly Alexander's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

What insurance does Kelly Alexander accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kelly Alexander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Alexander was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.