# SAMANTHA LYNNE MASHBURN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851769350
- **Gender:** F
- **Credential:** FNP-PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 2017003279 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 221717 | AR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2017003279 | MO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 221717 | AR | — |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 03/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 293477758 | — | AR |
| 05 | — | 420041045 | — | MO |