Individual provider · Type 1 NPI
Charles Jay Bawcom, APRN-RNP
Family Nurse Practitioner · Grand Canyon, AZ
NPI number
1801419841
Active
Practice location
1 Clinic Rd # 369
Grand Canyon, AZ 86023-0290
Fax (928) 638-2598
Mailing address
PO Box 1231
Tucson, AZ 85702-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 241530 (AZ) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Grand Canyon
About NPI 1801419841
Charles Jay Bawcom, APRN-RNP's National Provider Identifier is 1801419841, issued on May 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Canyon, AZ. The record was last updated on Apr 21, 2026.