# MRS. FARAH LYNN SHADDIX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912524059
- **Gender:** F
- **Credential:** MSN, RN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1097292 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2020019555 | MO | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 202114964NP-PP | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209024820 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 259430 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3015935 | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 53-81140-101 | KS | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95039174 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61418023 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F408156 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | G161807 | IA | — |

## Other

- **Enumeration date:** 07/05/2020
- **Last updated:** 04/08/2026