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NPI Code Detail

MEDICARE: ZACHARY QUINN PERSON FNP

MEDICARE: ZACHARY QUINN PERSON FNP
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
1363LF0000XFamily Nurse Practitioner208135LA

General Provider Information

NPI Number : 1356130827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY QUINN PERSON FNP
Provider Business Mailing Address
First Line : 706 SUMMER BREEZE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-6187
Country : US
Telephone Number : 337-550-5379
Fax Number :
Provider Business Practice Location Address
First Line : 5444 BURBANK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-4011
Country : US
Telephone Number : 225-388-6630
Fax Number : 225-761-5702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2025
Last Update Date : 06/23/2025

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