Individual provider · Type 1 NPI

Farah Lynn Shaddix, MSN, RN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · O Fallon, MO

NPI number 1912524059 Active

Practice location

401 Church St Unit 791
O Fallon, MO 63366-6506

Call (636) 388-4170 Map

Fax (636) 306-4267

Mailing address

PO Box 791
O Fallon, MO 63366-0791

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209024820 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XF408156 (NY)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X259430 (AZ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X202114964NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95039174 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X3015935 (KY)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X53-81140-101 (KS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2020019555 (MO)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XG161807 (IA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP61418023 (WA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X1097292 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1912524059

Farah Lynn Shaddix, MSN, RN, PMHNP-BC's National Provider Identifier is 1912524059, issued on Jul 5, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in O Fallon, MO. The record was last updated on Apr 8, 2026.