Healthcare Provider Details

I. General information

NPI: 1598833253
Provider Name (Legal Business Name): JEANNE NIZIGIYE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 CHADWICK DR SUITE 303
JACKSON MS
39204-3463
US

IV. Provider business mailing address

1860 CHADWICK DR STE 303
JACKSON MS
39204-3467
US

V. Phone/Fax

Practice location:
  • Phone: 601-376-2997
  • Fax: 601-376-2998
Mailing address:
  • Phone: 601-376-2997
  • Fax: 601-376-2998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number17828
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: