Individual provider · Type 1 NPI

Bailey Madison Burcham, AGNP-C

Nurse Practitioner · Fort Smith, AR

NPI number 1992640742 Active

Practice location

3501 We Knight Dr
Fort Smith, AR 72903-6254

Fax (479) 709-6710

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAG06260004 (AR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992640742

Bailey Madison Burcham, AGNP-C's National Provider Identifier is 1992640742, issued on Apr 20, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Smith, AR. The record was last updated on Aug 17, 2026.