TRACI BOULLION, AGNP-C

AGNP-C

Hospitalist Physician

NPI: 1568096279IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

RN196865(GA)AG02200003(TX)

Primary Care Nurse Practitioner

Nurse Practitioner — Primary Care

Code: 363LP2300X

APRN11034876(FL)

Hospitalist PhysicianPrimary

Hospitalist

Code: 208M00000X

APRN11034876(FL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

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Contact & Hours

Address: 311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Phone: (386) 241-1020

Locations (3)

Practice Location

311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL

Practice Location

55 WHITCHER ST NE STE 130, MARIETTA, GA

127 Santolina Park

127 Santolina Park, Peachtree City, GA

Quick Facts

NPI: 1568096279
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 4
Locations: 3
Years in Practice: 7

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