Individual
DR. JENNIFER M O'BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5960 GETWELL RD STE 102-103, SOUTHAVEN, MS 38672-7318
(662) 443-4408
(901) 214-6249
Mailing address
5960 GETWELL RD STE 102-103, SOUTHAVEN, MS 38672-7318
(662) 443-4408
(901) 214-6249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19112
MS
208000000X
Pediatrics Physician
MD39982
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440602
—
TN
Enumeration date
10/12/2005
Last updated
02/24/2026
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