Healthcare Provider Details

I. General information

NPI: 1063161362
Provider Name (Legal Business Name): CHRISTINA JURGIELEWICZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 JACKSON AVE APT 1A
NEW ORLEANS LA
70130-5774
US

IV. Provider business mailing address

1436 JACKSON AVE APT 1A
NEW ORLEANS LA
70130-5774
US

V. Phone/Fax

Practice location:
  • Phone: 504-232-3773
  • Fax:
Mailing address:
  • Phone: 504-232-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number351240
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number189504
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: