Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jadene Sue Lyste

Individual provider Licensed Practical Nurse · NPI 1902613656

Jadene Sue Lyste is a Licensed Practical Nurse in Fargo, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2024
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Practice location Address checks out

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

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L9783 (ND)

Record details

NPI number1902613656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address3202 Broadway N Apt 308, Fargo, ND 58102-1013

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