Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI C BOULLION, AGNP-C
Active Sole ProprietorTRACI C BOULLION, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in DAYTONA BEACH, Florida. NPI 1568096279 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1568096279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2020 (6.4102755562479 yrs)
- Last Updated
- Nov 14, 2024
- Licenses
-
APRN11034876 (FL)RN196865 (GA)AG02200003 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
311 N CLYDE MORRIS BLVDDAYTONA BEACH, FL, 321142781Browse FL providers · Browse ZIP 32114
- Phone
- 3862411020
- Fax
- 3862411022
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MARIA C PUENTES | ARNP | 1407009368 |
| MS. ANN MARIE ROBINSON | ARNP | 1710325030 |
| MICHELLE GUIRAND | NP | 1609373935 |
| LOREN EBRADA GOMES | APRN | 1972277622 |
| DR. TERRI MICHELE MINWER | ARNP | 1124893573 |
| MRS. KELLI KNIGHT OVERTURF | APRN | 1902664568 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.