IndividualActive
Alexandrea Kelly
NPI 1134717127 · Gerontology Nurse Practitioner · Dallas, TX
Provider details
- NPI number
- 1134717127
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 861329 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1411 N Beckley Ave Ste 352
Dallas, TX 75203-1270
Phone: (214) 943-2249
Fax: (214) 943-8213
Approximate (ZIP-level) locationGet directions
Mailing address
1411 N Beckley Ave Ste 352
Dallas, TX 75203-1270
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2021-01-05
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.