Jadene Sue Lyste

Licensed Practical Nurse · Fargo, ND

Individual Active NPI

NPI number 1902613656

Practice location

3202 Broadway N Apt 308
Fargo, ND 58102-1013
Phone
(701) 610-6255

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NPI record

NPI
1902613656
Entity type
Individual (Type 1)
Enumeration date
December 16, 2024
Last updated
December 16, 2024
Certified
December 16, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X L9783 ND

About Jadene Lyste

Jadene Sue Lyste is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3202 Broadway N Apt 308, Fargo, ND 58102-1013. The NPI number 1902613656 was assigned on December 16, 2024 and the record was last updated on December 16, 2024.

Jadene Lyste lists a license in the registry: #L9783 (ND) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jadene Sue Lyste?

The NPI number is 1902613656.

What is the phone number of Jadene Lyste?

The phone number listed for the practice location is (701) 610-6255.

Where is Jadene Lyste located?

3202 Broadway N Apt 308, Fargo, ND 58102-1013.

What is the taxonomy code for Jadene Lyste?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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