Provider Demographics
NPI:1437563996
Name:MCATEE, REBECCA JEAN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JEAN
Last Name:MCATEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:JEAN
Other - Last Name:HANKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:792 RIPPLING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-6716
Mailing Address - Country:US
Mailing Address - Phone:417-224-0416
Mailing Address - Fax:
Practice Address - Street 1:123 JOHNSTOWN DR
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-9366
Practice Address - Country:US
Practice Address - Phone:417-753-7757
Practice Address - Fax:417-501-4392
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008022185163W00000X
MO2014016885363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1437563996Medicaid