| Doctor Name: | QUANICA L DARDEN |
| NPI Number: | 1053743948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN PNP |
| License Number: | 833976 |
| Business Practice Address: | 2985 S State Highway 360 140 Grand Prairie, TX - 750527615 |
| Business Phone Number: | 9726021166 |
| Business Fax Number: | |
| Mailing Address: | 2630 Stonelake Dr, 426 GRAND PRAIRIE |
| State: | TX |
| Postal Code: | 750508782 |
| Phone Number: | 3183946306 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2013 |
| NPI Last Update Date: | 08/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 833976 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |