Healthcare Provider Details

I. General information

NPI: 1194669358
Provider Name (Legal Business Name): VIRTUAL NP TELEMEDICINE URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 ERIE AVE, STE 219
CINCINNATI OH
45208-2154
US

IV. Provider business mailing address

4975 DAYTON LIBERTY RD
DAYTON OH
45417-5945
US

V. Phone/Fax

Practice location:
  • Phone: 937-989-1233
  • Fax:
Mailing address:
  • Phone: 937-989-1233
  • Fax: 937-936-3244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TAMARA SHIPP
Title or Position: CEO
Credential: NP
Phone: 937-503-2139