Individual provider · Type 1 NPI
Ashley Fagan, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Lake St. Louis, MO
NPI number
1134036015
Active
Practice location
1328 Flintshire Ln
Lake St. Louis, MO 63367-1949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2026052822 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Lake St. Louis
About NPI 1134036015
Ashley Fagan, PMHNP-C's National Provider Identifier is 1134036015, issued on Aug 26, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lake St. Louis, MO. The record was last updated on Nov 2, 2026.