Provider Demographics
NPI:1609876275
Name:OBRIEN, JENNIFER ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:BEISTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:405 CAREDEAN DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1301
Mailing Address - Country:US
Mailing Address - Phone:215-441-9710
Mailing Address - Fax:215-441-9288
Practice Address - Street 1:405 CAREDEAN DR
Practice Address - Street 2:SUITE J
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1301
Practice Address - Country:US
Practice Address - Phone:215-441-9710
Practice Address - Fax:215-441-9288
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070446L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics