Healthcare Provider Details

I. General information

NPI: 1427546373
Provider Name (Legal Business Name): BRITTANY D CLUNIE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1877 FARNSLEY RD
LOUISVILLE KY
40216-4701
US

IV. Provider business mailing address

11833 PERRY CROSSING PKWY
SELLERSBURG IN
47172-8301
US

V. Phone/Fax

Practice location:
  • Phone: 502-448-8622
  • Fax: 502-448-4274
Mailing address:
  • Phone: 337-281-1861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71007948A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: