Traci C Boullion
AGNP-C | Nurse Practitioner - Primary Care | 6+ years Exp
311 N Clyde Morris Blvd, Daytona Beach
Florida, 32114-2781
386-241-1020
Traci C Boullion is a Daytona Beach, Florida based nurse practitioner with 6 years of experience in Primary Care. She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Traci C Boullion is APRN11034876 for Primary Care in Florida. Her current practice location is 311 N Clyde Morris Blvd, Daytona Beach. Patients can reach her at 386-241-1020 or can fax her at 386-241-1022. Traci C Boullion is AGNP-C with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1568096279.
Traci C Boullion is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Traci C Boullion speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Traci C Boullion |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | AGNP-C |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 311 N Clyde Morris Blvd, Daytona Beach,
Florida, 32114-2781 |
| Phone: | 386-241-1020 |
| Fax: | 386-241-1022 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2466869771 |
| Enrollment ID: | I20210405001254 |
| NPI Number: | 1568096279 |
| NPI Enumeration Date: | 03 Mar, 2020 |
| NPI Last Update On: | 14 Nov, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Traci C Boullion are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11034876 | Primary Care | Florida | Primary | |
| RN196865 | Nurse Practitioner | Georgia | Secondary | |
| AG02200003 | Nurse Practitioner | Texas | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (110035) | Marietta, GA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Traci C Boullion is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Wellstar Medical Group, Llc (6709065402) | 1658 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Traci C Boullion such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 124409700 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Traci C Boullion
311 N Clyde Morris Blvd,
Daytona Beach, Florida |
| Zip: | 32114-2781 |
| Phone Number: | 386-241-1020 |
| Fax Number: | 386-241-1022 |
Patients can reach Traci C Boullion at
311 N Clyde Morris Blvd, Daytona Beach, Florida or can
call to book an appointment on 386-241-1020.
Comments/ Reviews:
Patients can read all the reviews posted for Traci C Boullion below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Traci C Boullion. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.