Healthcare Provider Details

I. General information

NPI: 1972993749
Provider Name (Legal Business Name): JASMINE RENEE HOLMES MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 OPELOUSAS AVE
NEW ORLEANS LA
70114-4343
US

IV. Provider business mailing address

7220 WILLOWBRAE DR
NEW ORLEANS LA
70127-2327
US

V. Phone/Fax

Practice location:
  • Phone: 504-222-2994
  • Fax:
Mailing address:
  • Phone: 504-355-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number336339
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: