Haag, Joanna Kae

Haag, Joanna Kae is an individual health care provider with primary practice located at 6805 State Route 162 Ste 201 , Maryville IL 62062-8530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Haag, Joanna Kae can be contacted via phone (618) 288-5019.

Contact Information

Primary practice address
6805 State Route 162 Ste 201 Maryville IL 62062-8530
Phone: (618) 288-5019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2021032483 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209027119 Illinois

Profile Details

NPI number 1760052310
LBN Legal business name Haag, Joanna Kae
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2021
Last updated Mar 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers