Healthcare Provider Details

I. General information

NPI: 1336061688
Provider Name (Legal Business Name): BRANDI CLONINGER-CUNNINGHAM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 W BEEBE CAPPS EXPY
SEARCY AR
72143-5012
US

IV. Provider business mailing address

213 PRIMROSE LN
JUDSONIA AR
72081-9088
US

V. Phone/Fax

Practice location:
  • Phone: 405-845-5368
  • Fax:
Mailing address:
  • Phone: 405-845-5368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number232354
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: