O'Bryan, Jennifer M

O'Bryan, Jennifer M is an sole proprietor health care provider with primary practice located at 5960 Getwell Rd Ste 102-103 , Southaven MS 38672-7318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. O'Bryan, Jennifer M can be contacted via phone (662) 443-4408.

Contact Information

Primary practice address
5960 Getwell Rd Ste 102-103 Southaven MS 38672-7318
Phone: (662) 443-4408
Fax: (901) 214-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19112 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39982 Tennessee

Profile Details

NPI number 1689662702
LBN Legal business name O'Bryan, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Feb 24th, 2026 - about 8 months 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 1689662702 NPPES
Tennessee MEDICAID 5440602

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