Individual provider · Type 1 NPI
Julie Kay Haggerty, APN
Psychiatric/Mental Health Nurse Practitioner · Ellisville, IL
NPI number
1790014520
Active
Practice location
7662 E Bear Paw Rd
Ellisville, IL 61431-9567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209007867 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1790014520
Julie Kay Haggerty, APN's National Provider Identifier is 1790014520, issued on Dec 7, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ellisville, IL. The record was last updated on Aug 26, 2025.