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

Celynne Joelle Beaudoin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962043562

Celynne Joelle Beaudoin is a Physician Assistant in Dallas, Texas. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1135 N Bishop Ave
Dallas, TX 75208-4114
Phone: (214) 942-3100
Fax: (214) 948-3697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7224 S Elwood Ave Apt 29208, Tulsa, OK 74132-2462 — (405) 315-3087

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15300 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962043562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2019
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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