Healthcare Provider Details

I. General information

NPI: 1548065899
Provider Name (Legal Business Name): BRIDGES BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 OLD STEESE HWY
FAIRBANKS AK
99701-3126
US

IV. Provider business mailing address

330 OLD STEESE HWY
FAIRBANKS AK
99701-3126
US

V. Phone/Fax

Practice location:
  • Phone: 720-569-0848
  • Fax:
Mailing address:
  • Phone: 907-416-3993
  • Fax: 907-931-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER L NAYLOR
Title or Position: OWNER/PROVIDER
Credential:
Phone: 907-416-3993