Farah Lynn Shaddix, MSN, RN, PMHNP-BC Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · O Fallon, MO

NPI

1912524059

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

2020019555 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2020-07-05

Last updated

2026-04-08