Provider Demographics
NPI:1053065524
Name:RABNER, SHELLIE ANN (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SHELLIE
Middle Name:ANN
Last Name:RABNER
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 HIGHLAND VILLAGE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7189
Mailing Address - Country:US
Mailing Address - Phone:972-317-1400
Mailing Address - Fax:
Practice Address - Street 1:2280 HIGHLAND VILLAGE RD STE 130
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7189
Practice Address - Country:US
Practice Address - Phone:972-317-1400
Practice Address - Fax:972-317-1477
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069776363LF0000X
TX777884363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily