Provider Demographics
NPI:1487268108
Name:IYOKE, CELYN (NP)
Entity type:Individual
Prefix:MRS
First Name:CELYN
Middle Name:
Last Name:IYOKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CELYN
Other - Middle Name:ODION
Other - Last Name:ISERHINERHIENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 AUGUSTA DR STE 369
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4911
Mailing Address - Country:US
Mailing Address - Phone:888-880-3451
Mailing Address - Fax:
Practice Address - Street 1:2400 AUGUSTA DR STE 369
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4911
Practice Address - Country:US
Practice Address - Phone:888-880-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38053363LF0000X
MO2025011183363LF0000X
KS5383953031363LF0000X
LA240080363LF0000X
MI4704424778363LF0000X
TXAP142165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily