Healthcare Provider Details

I. General information

NPI: 1255277893
Provider Name (Legal Business Name): TAMIKA DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 VERSAILLES APT H
CINCINNATI OH
45240-3849
US

IV. Provider business mailing address

112 VERSAILLES APT H
CINCINNATI OH
45240-3849
US

V. Phone/Fax

Practice location:
  • Phone: 513-679-0188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number600130770521
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: