MEDICARE: FIRST PRIORITY MEDICAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1376139469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST PRIORITY MEDICAL, LLC

Provider Business Mailing Address
First Line	:	7742 OFFICE PARK BLVD STE C-3
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-8636
Country	:	US
Telephone Number	:	225-448-0442
Fax Number	:	225-351-8807

Provider Business Practice Location Address
First Line	:	7742 OFFICE PARK BLVD STE C-3
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-8636
Country	:	US
Telephone Number	:	225-448-0440
Fax Number	:	225-910-0507

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. DONALD W POPE JR.
Credential	:
Telephone Number	:	225-270-8068

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	10/21/2022

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