Elison, Jasmine R

Elison, Jasmine R is an individual health care provider with primary practice located at 4224 Houma Blvd Suite 150, Metairie LA 70006-2933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as her primary health care specialty. Elison, Jasmine R can be contacted via phone (504) 456-2691.

Contact Information

Primary practice address
4224 Houma Blvd Suite 150 Metairie LA 70006-2933
Fax: (504) 456-2692
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 201726 Louisiana

Profile Details

NPI number 1740219583
LBN Legal business name Elison, Jasmine R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated May 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740219583 NPPES
Louisiana MEDICAID 1020206

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