Provider Demographics
NPI:1629382874
Name:CLOUD, BRANDY LYNNE (DNP, FNP-C, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:LYNNE
Last Name:CLOUD
Suffix:
Gender:F
Credentials:DNP, FNP-C, LPC-MHSP
Other - Prefix:DR
Other - First Name:BRANDY
Other - Middle Name:LYNNE
Other - Last Name:CLOUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:2480 LLEWELLYN AVE STE 5800
Mailing Address - Street 2:
Mailing Address - City:FORT GEORGE G MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755-5129
Mailing Address - Country:US
Mailing Address - Phone:301-677-8798
Mailing Address - Fax:
Practice Address - Street 1:2480 LLEWELLYN AVE STE 5800
Practice Address - Street 2:
Practice Address - City:FORT GEORGE G MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755-5129
Practice Address - Country:US
Practice Address - Phone:301-619-7175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2629101YP2500X
TN190100163W00000X
TN17945363LF0000X
MDAC002598363LF0000X
AZ8644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse