Healthcare Provider Details

I. General information

NPI: 1376139469
Provider Name (Legal Business Name): FIRST PRIORITY MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7742 OFFICE PARK BLVD STE C-3
BATON ROUGE LA
70809-8636
US

IV. Provider business mailing address

7742 OFFICE PARK BLVD STE C-3
BATON ROUGE LA
70809-8636
US

V. Phone/Fax

Practice location:
  • Phone: 225-448-0440
  • Fax: 225-910-0507
Mailing address:
  • Phone: 225-448-0442
  • Fax: 225-351-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD W POPE JR.
Title or Position: MEMBER
Credential:
Phone: 225-270-8068