Individual provider · Type 1 NPI

Traci C. Boullion, AGNP-C

Hospitalist Physician · Daytona Beach, FL

NPI number 1568096279 Active

Practice location

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781

Call (386) 241-1020 Map

Fax (386) 241-1022

Other practice locations

  • 55 Whitcher St NE Ste 130, Marietta, GA 30060-1156 · (770) 428-0462
  • 127 Santolina Park, Peachtree City, GA 30269-3245 · (564) 389-8282

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN196865 (GA)
Primary Care Nurse Practitioner 363LP2300XAPRN11034876 (FL)
Nurse Practitioner 363L00000XAG02200003 (TX)
Hospitalist Physician Primary 208M00000XAPRN11034876 (FL)

Hospitalist Physician: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

48 other providers at this address

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About NPI 1568096279

Traci C. Boullion, AGNP-C's National Provider Identifier is 1568096279, issued on Mar 3, 2020. The primary taxonomy on file is Hospitalist Physician (208M00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Apr 20, 2026.