Provider Demographics
NPI:1972993749
Name:HOLMES, JASMINE RENEE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:RENEE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7220 WILLOWBRAE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2327
Mailing Address - Country:US
Mailing Address - Phone:504-355-6556
Mailing Address - Fax:
Practice Address - Street 1:4028 HIGHWAY 90 W
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:LA
Practice Address - Zip Code:70094-2622
Practice Address - Country:US
Practice Address - Phone:504-309-0594
Practice Address - Fax:504-436-3665
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA336339208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics