KELLY PRINE ALEXANDER

ST. DOMINIC MEDICAL ASSOCIATES LLC

Dr KELLY PRINE ALEXANDER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

ST. DOMINIC MEDICAL ASSOCIATES LLC

971 LAKELAND DR
SUITE 557
JACKSON
MS
392164661

Tel: 6012004560

KELLY PRINE ALEXANDER Information

Npi 1104277136
Pac Id 4284914631
Professional Enrollment Id I20161201000956
Last Name ALEXANDER
First Name KELLY
Middle Name PRINE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST. DOMINIC MEDICAL ASSOCIATES LLC
Group Practice Pac Id 0446303168
Number Of Group Practice Members 123
Line 1 Street Address 971 LAKELAND DR
Line 2 Street Address SUITE 557
Marker Of Address Line 2 Suppression
City JACKSON
State MS
Zip Code 392164661
Phone Number 6012004560
Hospital Affiliation Ccn 1 250048
Hospital Affiliation Lbn 1 ST DOMINIC-JACKSON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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