Provider Demographics
NPI:1043102155
Name:SWANEPOEL, JEREMI (MBCHB)
Entity type:Individual
Prefix:DR
First Name:JEREMI
Middle Name:
Last Name:SWANEPOEL
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401-A JEFFERSON HIGHWAY
Mailing Address - Street 2:ACADEMIC CENTER, 1ST FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-3260
Mailing Address - Fax:504-842-3193
Practice Address - Street 1:1401-A JEFFERSON HIGHWAY
Practice Address - Street 2:ACADEMIC CENTER, 1ST FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-842-3260
Practice Address - Fax:504-842-3193
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program