Healthcare Provider Details

I. General information

NPI: 1649763129
Provider Name (Legal Business Name): BRYNN EMILY EHLERS JASCHEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRYNN EMILY EHLERS DO

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COWLES ST
FAIRBANKS AK
99701-5907
US

IV. Provider business mailing address

1650 COWLES ST
FAIRBANKS AK
99701-5907
US

V. Phone/Fax

Practice location:
  • Phone: 907-452-8181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number195533
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: