Individual provider · Type 1 NPI

Justeena Melline Pendarvis

Licensed Practical Nurse · Oklahoma City, OK

NPI number 1770459364 Active

Practice location

1613 SE 66th St
Oklahoma City, OK 73149-5203

Mailing address

19020 SE 29th St
Harrah, OK 73045-6340

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X205767 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

23 other providers at this address

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About NPI 1770459364

Justeena Melline Pendarvis's National Provider Identifier is 1770459364, issued on Oct 13, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 13, 2025.