Healthcare Provider Details

I. General information

NPI: 1437563996
Provider Name (Legal Business Name): REBECCA JEAN MCATEE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. REBECCA JEAN HANKINS

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 JOHNSTOWN DR
ROGERSVILLE MO
65742-9366
US

IV. Provider business mailing address

792 RIPPLING CREEK RD
NIXA MO
65714-6716
US

V. Phone/Fax

Practice location:
  • Phone: 417-753-7757
  • Fax: 417-501-4392
Mailing address:
  • Phone: 417-224-0416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2008022185
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014016885
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: