Individual provider · Type 1 NPI

Mendjie Providence, REGISTERED NURSE

School Registered Nurse · Long Island City, NY

NPI number 1588569735 Active

Practice location

2811 Queens Plz N
Long Island City, NY 11101-4172

Mailing address

81 Elizabeth Ave
Hempstead, NY 11550-6201

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X961391 (NY)

School Registered Nurse: Definition to come...

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About NPI 1588569735

Mendjie Providence, REGISTERED NURSE's National Provider Identifier is 1588569735, issued on Oct 8, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Long Island City, NY. The record was last updated on Oct 8, 2026.