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TRACI C BOULLION AGNP-C
AGNP-C
Primary Care Nurse Practitioner
NPI: 1568096279IndividualAccepts Medicare
Specialties, Licenses & Credentials
Primary Care Nurse PractitionerPrimary
Nurse Practitioner — Primary Care
Code: 363LP2300X
APRN11034876(FL)
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
RN196865(GA)AG02200003(TX)
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 3 locations total
- Address
- 311 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114 - Phone
- (386) 241-1020
Quick Facts
- NPI
- 1568096279
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 3
- Years in Practice
- 7
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