# FNP4JC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Convenient Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972133460
- **Authorized official:** MRS. REBECCA LYNN MCCLAIN MSN, APRN, FNP-C (FNP-C)
- **Authorized official phone:** (573) 528-0273

## Contact information

- **Practice address:** 215 NORTH STREET, WAYNESVILLE, MO 65583
- **Practice address phone:** (573) 774-6279
- **Practice address fax:** (573) 774-5626
- **Mailing address:** PO BOX 4475, WAYNESVILLE, MO 65583
- **Mailing address phone:** (573) 528-0273
- **Mailing address fax:** (573) 774-5626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2020
- **Last updated:** 06/25/2020
