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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.