Healthcare Provider Details

I. General information

NPI: 1528509106
Provider Name (Legal Business Name): HENNA SHABAN KABANI DNP, APRN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22001 SOUTHWEST FWY STE 115
RICHMOND TX
77469-7002
US

IV. Provider business mailing address

3300 OLD MILTON PKWY STE 200
ALPHARETTA GA
30005-2425
US

V. Phone/Fax

Practice location:
  • Phone: 832-222-5437
  • Fax:
Mailing address:
  • Phone: 770-664-9299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN316626
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: