Healthcare Provider Details

I. General information

NPI: 1629382874
Provider Name (Legal Business Name): BRANDY LYNNE CLOUD DNP, FNP-C, LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDY LYNNE CLOUD NP-C

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 LLEWELLYN AVE STE 5800
FORT GEORGE G MEADE MD
20755-5129
US

IV. Provider business mailing address

2480 LLEWELLYN AVE STE 5800
FORT GEORGE G MEADE MD
20755-5129
US

V. Phone/Fax

Practice location:
  • Phone: 301-619-7175
  • Fax:
Mailing address:
  • Phone: 301-677-8798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2629
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR276315
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17945
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8644
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR276315
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR276315
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number190100
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: