Provider Demographics
NPI:1053743948
Name:DARDEN, QUANICA L (APRN PNP)
Entity type:Individual
Prefix:
First Name:QUANICA
Middle Name:L
Last Name:DARDEN
Suffix:
Gender:F
Credentials:APRN PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9202 ELAM RD STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-4151
Mailing Address - Country:US
Mailing Address - Phone:214-266-4000
Mailing Address - Fax:214-266-1782
Practice Address - Street 1:9202 ELAM RD STE 110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-4151
Practice Address - Country:US
Practice Address - Phone:214-266-4000
Practice Address - Fax:214-266-1782
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX833976363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics