Mashburn, Samantha Lynne

Mashburn, Samantha Lynne is an sole proprietor health care provider with primary practice located at 1965 S Fremont Ave Ste 330 , Springfield MO 65804-2251. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mashburn, Samantha Lynne can be contacted via phone (417) 820-8180.

Contact Information

Primary practice address
1965 S Fremont Ave Ste 330 Springfield MO 65804-2251
Phone: (417) 820-8180
Fax: (417) 820-8261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017003279 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2017003279 Missouri

Profile Details

NPI number 1851769350
LBN Legal business name Mashburn, Samantha Lynne
Credentials FNP-PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2015
Last updated Mar 9th, 2026 - about 8 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851769350 NPPES
Arkansas MEDICAID 293477758
Arkansas MEDICAID 420041045

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