Provider Demographics
NPI:1003497645
Name:HOLMES, JASMINE SHA'DEY (MD)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:SHA'DEY
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CANAL STREET
Mailing Address - Street 2:D&T BLDG., 2ND FLOOR, SUITE 2720
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-702-2287
Mailing Address - Fax:504-702-2500
Practice Address - Street 1:2000 CANAL STREET
Practice Address - Street 2:D&T BLDG., 2ND FLOOR, SUITE 2720
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-702-2287
Practice Address - Fax:504-702-2500
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA339545207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program