Healthcare Provider Details

I. General information

NPI: 1366398398
Provider Name (Legal Business Name): TAYLOR DARDEN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1278 OCEAN SPRINGS RD
OCEAN SPRINGS MS
39564-3409
US

IV. Provider business mailing address

14615 LILLIAN WAY
VANCLEAVE MS
39565-4513
US

V. Phone/Fax

Practice location:
  • Phone: 228-875-3606
  • Fax:
Mailing address:
  • Phone: 228-217-8005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908223
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: