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JADENE SUE LYSTE
NPI 1902613656
Licensed Practical Nurse in Fargo, ND

Active since December 16, 2024
3202 BROADWAY N APT 308, FARGO, ND 58102(701) 610-6255 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jadene Sue Lyste NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADENE SUE LYSTE (NPI 1902613656) is an individual licensed practical nurse in Fargo, North Dakota, licensed in North Dakota (L9783) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1902613656
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJADENE SUE LYSTE
Location Address3202 BROADWAY N APT 308Fargo, ND 58102-1013
Mailing Address3202 Broadway N Apt 308Fargo, ND 58102-1013 · (701) 610-6255
Phone(701) 610-6255
Sole ProprietorYes
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1902613656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ND · L9783
Definition
A licensed practical nurse 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.
3202 BROADWAY N APT 308, Fargo, ND 58102
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jadene Lyste's NPI number?

The NPI number for Jadene Lyste is 1902613656. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Jadene Lyste located?

Jadene Lyste practices at 3202 Broadway N Apt 308, Fargo, ND 58102. The listed phone number is (701) 610-6255.

What is Jadene Lyste's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jadene Lyste was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.