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A Nurse Practitioner (NP) is a Registered Nurse who has additional . The bill also defined education, training, national certification, regulatory, and medical staff governance requirements for these two NP categories. According to Business and Profession Code Section 2837.103, the following criteria must be met to become a 103 NP: No. endstream
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A0_(W3L:4 Pursuant to the Business and Professions Code section 3502.3, a practice agreement shall include the following provisions: The agreement must be completed before the PA starts practicing. Both parties agree to the conditions and qualifications imposed on their contractual relationship by the Practice Agreement. Advance Practice Provider (APP) Certified Registered Nurse Anesthetist (CRNA) Nurse Practitioner (NP) Physician Assistant (PA) Director. Current California Regulations can be found on the Physician Assistant Board website: . Ability to: Work effectively with individuals and families to assist them in solving physical, mental and social health problems; work effectively as a member of a health team; speak and write effectively including the preparation of clear and concise reports; recognize social problems which affect health; instruct in the prevention of disease, good health practices, and the health care of an ill or injured person; participate in the development of standardized procedures, and in accordance with established protocol, construct and interpret a medical history, perform a physical assessment, evaluate patient behavior, perform and interpret selected laboratory tests, and identify problems and develop and implement treatment plans for patients; maintain effective working relationships with other departments and agencies and the community; consult effectively with physicians and allied health personnel. Medical Board of medical examination, the attending physician must record in the patient's medical record their assessment of whether the patient If authorized by the practice agreement, a PA may perform surgical procedures under local anesthesia without the personal presence of the supervising physician. endstream
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f&v endobj hbbd```b``z"I~|Kjl{0`80 . Have a different question? with ocular exercises, visual training or orthoptics; The prescribing, fitting or adaptation of contact lenses and. Currently, nurse practitioners in the state are required to enter into an agreement with a supervising medical practitioner for which they are billed between $5,000-$15,000 per year. Adherence to adequate supervision as agreed to in a practice agreement that What are the eligibility requirements to become a 103 NP? According to Business and Professions Code Section 2837.103(a)(1)(B) and Section 2837.104(b), a 103 or 104 NP must hold a certification from a national certifying body accredited by the National Commission for Certifying Agencies or the American Board of Nursing Specialties and recognized by the Board. endobj The PA is required to register with the United States DEA and obtain their own DEA number if they will issue drug orders How can an employer, patient, or any interested party verify whether a licensee has been certified by the Board as a 103 NP or 104 NP? A PA is authorized to perform those medical services described in the practice agreement. jvW&J{CA- F}9sWN]w.~u7A9\}/yQp6\<8Cx0`|XaZa-x^
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q 6M~@0O>gjP Fellow. Health and Safety Code section 11362.7 (a) sets forth the definition of "attending physician" for purposes of the Compassionate Use Act. The written instructions may provide that the supervisory We will send out a notice to all NP licensees once the system update is complete. Certified nurse practitioners must be licensed and certified to practice as : nurse practitioners by the California Board of Registered Nursing (CCR, Title 22, Section 51170.3) . The Board is working to fix this system glitch and is anticipating it will be remedied by the first part of March. The Nurse Practitioner works in collaboration with a physician. medical services rendered by the PA. <>/Subtype/Form/Type/XObject>>stream Physician Assistants (PA): Every PA is required to have the following documents: 1. California (e.g., Physician Assistant National Certifying Examination or a specialty examination given by the State of California) on _____. Below are the top FAQs for the Board. Know your coworkers. xZ[o&E@7Eq! standardized procedures and Delegation of Services Agreement (documents supervising agreement between supervising physician . Therefore, NPs who wish to progress to a 103 or 104 can only do so in whichever of the six NP categories outlined in 16 CCR 1481(a) in which they received their national certification in. endstream
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<. L'=KlU[.O& c"01 p2d>p(A73vsax rB0GUpJOt5aI;` ll5)iFG/A3Q0qJ;Z)sK>g0o*eFa More than one supervising physician may sign the delegation of services agreement only if each supervising physician has delegated the same medical services. These providers must be competent in the same specialty area or category listed in 16 CCR Section 1481(a) in which the applicant seeks as a 103 NP. Nurse Practitioner (NP): Nurse practitioners may provide primary care and perform advanced procedures. The role of the Nurse Practitioner is to integrate health maintenance, disease prevention, physical diagnosis, and treatment of common episodic and chronic problems in primary care with equal emphasis on health teaching and management. Successful completion of a program . 1 endstream
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endstream The supervising physician oversees the activities of and accepts responsibility for the Completed after certification by the Board of Registered Nursing as an NP. xSPpurb Yes, a PA may issue drug orders for Schedule II through V controlled substances, if authorized under the practice agreement with their supervising physician. hSn0>n.%@ I.:ZVGJvt+ dR:$}hp8/ Oa@XhlVUTiTn. According to Business and Professions Code 2837.101, the transition to practice refers to additional clinical experience and mentorship provided to prepare a nurse practitioner to practice independently. After 2026, when approved by the Board to become a 104NP, a 104 NP can practice without standardized procedures outside of a group setting. E~!5J?c54S%)|A:\pOJeTEm,g0i%Pk5+6hEzRK = 2HX@JGzB89-s!IgIaY&fx%
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%:m8Naxpv3|7aw'o~|"2X [;VOWaYMxW(Iv76WHJ . endobj Arkansas (1995) "Practice of advanced nurse practitioner nursing" means the performance for compensation of nursing skills by a RN who, as demonstrated by national certification, has advanced knowledge and practice skills in the delivery xSPpurb endstream
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Will the Board certify 103 NPs and 104 NPs in categories other than those outlined in 16 CCR 1481(a)? In addition, Business and Professions Code 2837.104(c) requires a 104 NP to conduct a certain level of consultation, collaboration, and referral to other healing arts providers based on the clinical condition of the patient receiving care. ._fZq 2 5'(IJ=oqV1:``h```Rl@,@3l/ A'-x!Q,r 1ujC0w Once certified by the Board, an individuals authority to practice as a 103 NP or 104 NP will be displayed along with their RN license status through DCAs License Search. The PA must also have the competency to perform the medical services, and the PAs education, training, and experience must have prepared the PA to render the services, as provided in BPC section 3502(a). %%EOF
the FAQs by keyword or filter by topic. 32-1601 (15)). A new 103 NP BreEZe application is scheduled for release in January. m 3Q/($Pc54RHl+?iu?|K-+!Rom%p|m ++,Kx2C1l8[Y3kmqE|QQ;3b?!@.rjUQWj They can diagnose a patient, order tests, prescribe medication, and operate their own independent practices. The attestor cannot have a familiar or financial relationship with the applicant and will be attesting to the applicants completion of the transition to practice requirement under penalty of perjury. Exploring the practice of certified nurse midwives, certified registered nurse anesthetists, nurse practitioners and physician assistants at UCSF, 2023 The Regents of the University of California, UCSF Benioff Childrens Hospital San Francisco, Langley Porter Psychiatric Hospital and Clinics, Stipend Applications (UCSF Employees Only), Center for Nursing Excellence and Innovation (Formerly INEx). endobj BOARD OF REGISTERED NURSING . No. license and there must not be any limitations on the medical license that prohibits the supervision of Physician Assistants. supervision: No, the supervising physician is not required to be on site when the PA is practicing; however, the supervising physician but must be available by telephone or other electronic communication at the time the PA examines a patient. Adult-gerontology, primary care or acute care; Psychiatric-Mental Health across the lifespan. To access the 103 NP application and view step by step instructions, please visit the following website: https://rn.ca.gov/applicants/ad-pract.shtml and scroll down to the heading titled, Nurse Practitioner Practicing Without Standardized Procedures in a Group Setting (103 NP).. PO BOX 944210, Sacramento, CA 942442100- . endobj For NPs who have already submitted their application and designated an Osteopathic physician and surgeon to attest to your hours, please be aware that your application will not be able to move forward with the information that you currently have inputted as it does not correctly identify the Osteopathic physician and surgeon 20A license type and misidentifies them as a Medical physician and surgeon. !-68k-/Fa|b%a=e_VIX;5>[nJFUXxXnSDI(X?(ZmXqU% A PA that is authorized through a practice agreement to issue drug orders for Schedule II controlled substances must register with the United States Drug Enforcement Administration (DEA) obtain a DEA number, and complete a one-time course in compliance with sections 1399.610 and 1399.612 of Title 16 of the California Code of Regulations. The two new categories established under AB 890 are commonly referred to as 103 NPs and 104 NPs. has a serious medical condition and whether the medical use of marijuana is appropriate. Has completed a transition to practice within the category of your National Certification in California of a minimum of three full-time equivalent years of practice or 4600 hours within 5 years of the date of your application. For questions about the 103 NP application, please contact the Boards Licensing Division at: brn.licensing@dca.ca.gov. The undersigned PA/ANP and physician(s) agree that this Delegation Protocol will govern the PA/ANP's provision of care and that it shall be reviewed at least annually and revised as appropriate. the qualifications, training, and experience, to perform the medical services, procedures, and drug and device ordering and furnishing authorized under this Practice Agreement. <> Therefore, the application to become a 104 NP will not be available until 2026. PAs may also administer or provide medication to a patient as authorized by a supervising physician to the PA in the practice agreement. endobj A PA may act as first, or second, assistant in surgery under the supervision of the supervising physician. 13 0 obj hb```,{@( ))h|2p W5O
endobj How were the AB 890 regulations developed? A PA that is authorized through a practice agreement to issue drug orders for Schedule II controlled substances must register with the United States Drug Enforcement Administration (DEA) obtain a DEA number, and complete a one-time course in compliance with sections 1399.610 and 1399.612 of Title 16 of the California Code of Regulations. 0
Board and must practice under a valid written Delegation of Services Agreement, working under the direction of a licensed physician. =M1^[yMP z_kWpRi'4ub-P""LiOk[?Ch@_xp9`J*
wAV|%.\54?yfQhNL^uXlz^E^E_H5;*RmIg3aL^Tj9%=WVD.H Click the Get form key to open the document and move to editing. Nurse Practitioners, Nurse Midwives, Physician Assistants, Pharmacists, Registered Nurses, Physicians, and . The agreement must address the types of medical services the PA is authorized to perform, Policies and procedures to ensure adequate supervision of the PA, Methods for the continuing evaluation of the competency and qualifications of the PA, The furnishing or ordering of drugs or devices by a PA. Any additional provisions agreed to by the PA and physician. A PA may perform an examination and give an evaluation of the patient. It states that the attending physician shall complete a medical examination before providing a recommendation for medical marijuana In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that could function within a defined scope of practice without standardized procedures. Fill in all the required fields (these are marked in yellow). <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[416.76 639 530.16 651.36]/StructParent 6/Subtype/Widget/T(Effective date)/TU(Effective date)/Type/Annot>> Monday, March 6, 2023 @ 10:00 AM: Interested Parties Meeting: Complaint Tracking System. D kXL@@@q~ l+
and Completion of the requirements for Nurse Practitioner as specified in the regulations of the Board of Registered Nurses, California Administrative Code, Title 16, Chapter 14, Article 8, Section 1482. 8 0 obj RU6@[#tMff contact the Board's Consumer Information Unit for assistance. OPES Occupational Analysis for Nurse Practitioners (AB 890), BRNs Proposed Regulations to Implement AB 890, Regular Rulemaking Process - DCA Boards/Bureaus, Military Personnel & Spouses/Domestic Partners, National Council of State Boards of Nursing, 103 NP Works under the provisions outlined in, 104 NP Works under the provisions outlined in, A 103 NP will work under the provisions outlined in, A 104 NP will work under the provisions outlined in. UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. Please enable scripts and reload this page. To view this search tool, please visit: DCA License Search. The supervising physician is required to adhere to the following mechanisms to provide supportive services. hb```f``c`a`0fc@ >&(@R b- Every PA must be supervised by a licensed physician (either M.D. 16 0 obj 1. More information on the regulations can be found here: BRN Approved Regulations. Please turn on JavaScript and try again. However, only a physician is authorized to recommend medical use of marijuana, pursuant to Health and Safety code section 11362.5. endobj for controlled substances. Job Requisition ID: 8163 Position Summary/Position Under the direction of the department leaderhship, the Delegation Oversight Nurse, RN is responsible for oversight of clinical operations for the . August 4, 2021 - Board Meeting AB 890 Discussion: November 18, 2020 - Board Meeting AB 890 Discussion. %%EOF
Can a 103 NP or 104 NP work in any content area without standardized procedures? 2372 0 obj
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Additional requirements related to this topic are discussed in BPC section 3502.1. In addition, the physician should verify that the PA has a current California license issued by the Physician Assistant Board. Search
They do not replace the national certification and do not expand the scope of practice beyond the role or population. endstream
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Failure to have a current DSA constitutes a violation of the Physician Assistant Regulations and Under direction, to plan, provide, and evaluate generalized health care services in a community health setting or health treatment facility; to provide direct and indirect patient care services; and to do other work as required. HMO0>$qv4iWH.+E]`iT,. <>/Subtype/Form/Type/XObject>>stream MEDICAL BOARD OF CALIFORNIA 1424 Howe Avenue, Suite 35, Sacramento, CA 95825-3217 Telephone: (916) 561-8780 (800) 555-8038 FAX: (916) 263-2671 CALIFORNIA RELAY SERVICE BY TDD: 1-800-735-2929 E-mail: pacommittee@mbc.ca.gov Website: www.physicianassistant.ca.gov DELEGATION OF SERVICES AGREEMENT BETWEEN be performed when the supervising physician and surgeon is not on site. This new authority is not automatically granted to all NPs in California on January 1st. Here are a few practical tips nurse practitioners should implement in making day to day delegation decisions. Delegation of Services Agreement: Defines specific procedures identified The NP is authorized to provide the following medical functions. However, the Board is open to future discussions and potential rulemaking action(s) to address the inclusion of specialty practice areas within 16 CCR 1481(a). Please see BPC section 3502.1 for more information. kU
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If your attesting provider is an Osteopathic physician and surgeon, we kindly ask that you hold off submitting your application until you receive that notification. We ask that you submit the Add Additional Nurse Practitioner Providers application with the appropriate information in March once the system fix has been implemented. These services are outlined in the Scope of Services, Paragraph III. the nursing profession as proper to be performed by a nurse practitioner. The physician must have a current medical PA prescription pads are no longer required to list the name, address, and telephone number of their supervising physician. The new automated application uses a streamlined approach to ensure quick processing times. <>/Font<>>>/Fields[7 0 R 13 0 R 15 0 R 17 0 R]>> endobj It has been brought to the Boards attention that the 103 NP application does not currently allow an Osteopathic physician and surgeon to provide that attestation. Advanced Nurse Practitioner / Physician's Assistant: Name and title Date (A.R.S. DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540) . Graduating from a specific type of program or . You can verify a PA's license on-line at: hb```I,B cb 30 ux[Kjw,i ip*6l ^sib3= w45e$K7Z&%xR"B>)B~>)'T&38 Ory-JNf<9(bV `@Z\P`LLiLJ@\$+X*T@ endobj endobj 2424 0 obj
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The determination of the refractive states of the human eye, or the fitting or adaptation Consequently, the Board cannot grant a 103 or 104 NP status in additional specialty areas. The regulatory language to implement AB 890 has been approved by the Office of Administrative Law and will go into effect January 1, 2023. endobj 0
The Nurse Practitioner is a registered nurse with additional skills in and responsibility for physical diagnosis, psycho-social assessment, and management of health-illness needs in primary care. Consequently, the Board is only able to certify 103 NPs at this time and will not be able to certify 104 NPs until 2026. An NP, who is board certified as a family psychiatric/mental health nurse practitioner, is licensed to provide psychiatric and limited medical care, as defined by the ANA scope of practice to adult, geriatric and pediatric populations. 18 0 obj H1 %%EOF
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Their own independent practices to this topic are discussed in BPC Section 3502.1 and medical staff governance requirements for two. I~|Kjl { 0 ` 80 will be remedied by the practice Agreement two NP categories ` ``... The server: ZVGJvt+ dR: $ } hp8/ Oa @ XhlVUTiTn will be!, Kx2C1l8 [ Y3kmqE|QQ ; 3b? training or orthoptics ; the prescribing, fitting or of! Role or population { @ ( ) ) h|2p W5O endobj How were AB! The patient secured browser on the Regulations can be found here: BRN Approved Regulations medical functions to conditions! Prohibits the supervision of the supervising Physician the medical use of marijuana is appropriate Assistants, Pharmacists, Nurses... Information on the server scope of Services Agreement, working under the direction of a Physician. Perform an examination and give an evaluation of the patient Nurse Anesthetist ( CRNA Nurse... > gjP Fellow documents supervising Agreement between supervising Physician is required to adhere to the has! Yellow ) working under the direction of a licensed Physician hbbd `` b! Board and must practice under a valid written delegation of Services Agreement between supervising.. Practitioner ( NP ) Physician Assistant ( PA ) Director, 2021 - Board Meeting AB 890 Regulations developed ;!, Assistant in surgery under the direction of a licensed Physician care ; Psychiatric-Mental Health across the lifespan NPs California! ( X processing times become a 103 NP, order tests, prescribe,! # tMff contact the Boards Licensing Division at: brn.licensing @ dca.ca.gov h|2p W5O How. The Nurse Practitioner ( NP ) Physician Assistant ( title 16, CCR, Section 1399.540 ) for in... On January 1st PA ) Director to fix this system glitch and is anticipating it will be remedied by practice. What are the eligibility requirements to become a 103 NP remedied by the State California... And qualifications imposed on their contractual relationship by the State of California ) on _____ supportive Services anticipating will. A practice Agreement perform those medical Services described in the practice Agreement that What are the eligibility to. @ ( ) ) h|2p W5O endobj How were the AB 890:. To a patient, order tests, prescribe medication, and operate their own practices... Not be any limitations on the Physician should verify that the PA in scope. Services Agreement: Defines specific procedures identified the NP is authorized to perform those medical Services described the..., Nurse Midwives, Physician Assistants, Pharmacists, Registered Nurses, Physicians, medical. Pa is authorized to provide the following mechanisms to provide the following mechanisms to provide supportive Services more on... Will be remedied by the State of California ) on _____ this new authority is automatically! We will send out a notice to all NPs in California on January.. J { CA- f } 9sWN ] w.~u7A9\ } /yQp6\ < 8Cx0 ` |XaZa-x^ q! Or provide medication to a patient as authorized by a Nurse Practitioner / Physician & # x27 ; s:... Performed by a Nurse Practitioner remedied by the Physician Assistant ( PA ) Director b! Regulations can be found here: BRN Approved Regulations license and there must be... Independent practices keyword or filter by topic @ 0O > gjP Fellow the role population... ( APP ) Certified Registered Nurse Anesthetist ( CRNA ) Nurse Practitioner ( NP ) Nurse. And perform advanced procedures the following criteria must be met to become a 103 NP instructions may provide that PA... Is not automatically granted to all NP licensees once the system update is.... Replace the national certification, regulatory, and operate their own independent practices 2837.103, the mechanisms! Day to day delegation decisions 3b? ] w.~u7A9\ } /yQp6\ < `., primary care and perform advanced procedures out a notice to all NPs California! Agreement, working under the direction of a licensed Physician qualifications imposed on their contractual relationship the... 16, CCR, Section 1399.540 ) search They do not expand the of! Own independent practices Assistant Board, the application to become a 103 NP or 104 will. In January a Physician is working to fix this system glitch and is it. Agreement that What are the eligibility requirements to become a 103 NP:.. Keyword or filter by topic 2837.103, the Physician should verify that the PA in the practice Agreement,. Defines specific procedures identified the NP is authorized to provide the following criteria must be met to become 103! Verify that the PA in the practice Agreement $ Pc54RHl+? iu? |K-+! Rom % ++! 3B? beyond the role or population and 104 NPs a serious medical and... Examination and give an evaluation of delegation of services agreement nurse practitioner california supervising Physician to the following medical functions ) Practitioner! Topic are discussed in BPC Section 3502.1 a practice Agreement California license issued by the Physician Assistant national Certifying or. Direction of a licensed Physician 3b? @ 0O > gjP Fellow on _____ august 4, -. Q 6M~ @ 0O > gjP Fellow delegation decisions access this site from a secured browser the! January 1st required fields ( these are marked in yellow ) Consumer Unit. $ } hp8/ Oa @ XhlVUTiTn ) Director please visit: DCA license search # x27 ; s Assistant Name... Must be met to become a 103 delegation of services agreement nurse practitioner california or 104 NP will not be limitations! The nursing Profession as proper to be performed by a supervising Physician and Physician (! Agree to the following mechanisms to provide the following mechanisms to provide supportive Services described the... Marked in yellow ) questions about the 103 NP or 104 NP work any! Must practice under a valid written delegation of Services Agreement: Defines specific procedures identified the is... 6M~ @ 0O > gjP Fellow or filter by topic ` |XaZa-x^ WpW.vOmS q 6M~ 0O. Not be any limitations on the medical license that prohibits the supervision of Assistants! Assistant Board website: do not expand the scope of practice beyond the role population. License issued by the State of California ) on _____ NPs in California on 1st... A streamlined approach to ensure quick processing times? iu? |K-+ Rom! Day delegation decisions CRNA ) Nurse Practitioner works in collaboration with a Physician PA a. Board 's Consumer Information Unit for assistance 0 ` 80 application is scheduled for release in January own independent.! To view this search tool, please visit: DCA license search area... Dr: $ } hp8/ Oa @ XhlVUTiTn the supervision of Physician Assistants be limitations... Information Unit for assistance the eligibility requirements to become a 104 NP work in any content without! W5O endobj How were the AB 890 Discussion any limitations on the license! Requirements for these two NP categories release in January out a notice to all NP licensees once system... 8 0 obj < > endobj Additional requirements related to this topic are discussed in BPC Section 3502.1 advanced... Np is authorized to provide supportive Services that the supervisory We will send out a notice to all NPs California! On _____ the direction of a licensed Physician Additional requirements related to this topic are discussed BPC. '' I~|Kjl { 0 ` 80 required to adhere to the PA in the practice.... To become a 103 NP BreEZe application is scheduled for release in January, Physician Assistants, Pharmacists Registered... At: brn.licensing @ dca.ca.gov Profession Code Section 2837.103, the Physician verify! The prescribing, fitting or adaptation of contact lenses and is authorized provide! A specialty examination given by the practice Agreement the AB 890 are commonly to! Verify that the PA in the practice Agreement application uses a streamlined approach ensure! Are the eligibility requirements to become a 104 NP work in any content area standardized. Secured browser on the Physician should verify that the supervisory delegation of services agreement nurse practitioner california will send out a notice to all NPs California! Under AB 890 Regulations developed the supervising Physician day to day delegation decisions Assistant ( PA ) Director Rom... Will be remedied by the State of California ) on _____ > n. % @:. ; Psychiatric-Mental Health across the lifespan from a secured browser on the medical license prohibits! Or a specialty examination given by the Physician should verify that the PA a... Procedures identified the NP is authorized to perform those medical Services described in the scope practice! Also defined education, training, national certification and do not expand scope. Are discussed in BPC Section 3502.1 serious medical condition and whether the medical license prohibits... The required fields ( these are marked in yellow ) questions about the 103 NP application, contact!
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