Save my name, email, and website in this browser for the next time I comment. Nurse practitioners can prescribe medication in all 50 states. A psychiatric mental health nurse practitioner is trained to care for patients with mental health issues across the lifespan. She joined CalMatters in 2020 after four years at Kaiser Health News. Depending on the state, APRNs may also be able to provide additional care, such as mental health counseling, or diagnose and manage chronic conditions. CA S 385 : Physician Assistant Practice Act: Abortion - Revises training requirements to instead require a physician assistant to. Nurse practitioners (NPs) are registered nurses who have additional education and nursing experience, which enables them to: Autonomously diagnose and treat illnesses. Prescribing was believed to compliment many aspects of nursing and integrated previously diffuse aspects of the nursing role. And in theory, nurse practitioners would be able to open their own medical practice. According to the Bureau of Labor Statistics, the median pay for nurse practitioners is $120,680 per year as of May 2022. You know, his mother is in the parking lot, Levin says. Nursing organizations promote and encourage the use of evidence-based practice to its members. Californias nursing agency this week approved rules that will allow nurse practitioners to treat patients without physician supervision. Certified Registered Nurse Anesthetist ($181,040) The highest paid profession for an NP seems to be that of the Nurse Anesthetist. The U.S. Department of Health and Human Services reports there will be 250,000 fewer mental health providers by the year 2025. When suitably qualified they can prescribe the . Are you ready to earn your online nursing degree? There is a caveat. Nurses of all stripes have a broader view of health.. Even if you have a valid prescription and your hospital may view a positive drug screen as a negative, it may come back to haunt you should you ever be called before the Board. Al Rowlett is CEO of Turning Point Community Programs, a nonprofit that contracts with Placer County to supply mental health providers, including Levin and UCSF faculty member Deborah Johnson, who has established a faculty practice in Placer County for children, adolescents and their families. Patients can definitely go through therapy at the same time that theyre taking medication. The practitioners full name, address, and DEA number. Yes, diagnosis falls within a nurse practitioner's scope of practice. Prescription must be dated and signed on the date issued (may also enter the date written and Do not fill until) The patients full name and address. Registered nurses who are interested in pursuing continuing education in psychiatry then work in a specialty setting to gain experience in the field before applying for a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP), with a specialty in psychiatric-mental health care. A psychiatrist is a physician who went to medical school and also went through a residency program specializing in psychiatry. A psychiatric nurse practitioner is a registered nurse who has completed additional continuing education and training in psychiatric (mental health) nursing. They are really good at conducting assessments, finding social support and resources and making decisions., Levin and RN Mallory Stafford discuss a patient (photo by Elisabeth Fall). Educate the patient and family. Prescribing of schedule II drugs is limited to a 3-day supply, and no psychotropic medications may be prescribed for children under age 18 years, unless the ARNP is a psychiatric nurse. During legislative debate, the California Medical Association said nurse practitioners have less training than physicians, so allowing them to practice independently could lessen the quality of care and even pose a risk to patients. Can a nurse practitioner have their own practice? They will be able to prescribe medication for mood disorders, anxiety disorders, schizophrenia spectrum disorder, and others under the umbrella term "mental health." Broadly speaking, nurse practitioners can prescribe narcotics. The American Medical Association has a chart that outlines the NP prescriptive authority of each state. Rowlett says NPs are also excellent team players in a system that is moving quickly towards team-based care. The AANP (American Association of Nurse Practitioners) indicates that prescriptive authority is given and solely regulated by each states BON (board of nursing) per the NPs education, certification, and role. But existing scope-of-practice restrictions in California can also be a challenge, says Tullys, as a physician or psychiatrist must be willing and available to supervise NPs. Sometimes treatment plans require some sort of prescription. During their education and training, psychiatric nurse practitioners study pharmacokinetics (what the body does to the medication) and pharmacodynamics (how the medication affects the body). Arkansas (limited) Georgia. A psychiatric nurse practitioner is a registered nurse who has completed additional continuing education and training in psychiatric (mental health) nursing. Due to the shortage, treatment is often delayed and vulnerable communities lack adequate access to mental health services. The other a $10,000, one-year stipend is for students interested in working with children and youth in public mental health settings and does not require payback service. There are three methods to qualify for certification as a nurse practitioner with the BRN. Its not like the nurse practitioner is now going to have the freedom to go out and perform surgery; that has never been a nurse practitioner scope of practice.. 17-87-314. NPs must complete a Controlled Substances Registration in order to prescribe controlled substances. Neither profession ranks higher than the other. State practice and licensure laws restrict NPs ability to participate in at least one aspect of NP practice. Her work has Yes, nurse practitioners can prescribe medications in all 50 states. Yes, nurse practitioners can prescribe medications in all 50 states. Steps to Become a Psychiatric-Mental Health Nurse Practitioner Become a registered nurse. In her final year of the MEPN program, she is completing her clinical rotation at Marin County Mental Health and Substance Use Services. And those positions have to be created by people who are aware of how to use psych NPs.. As a nurse practitioner (NP), if you have complied with state law requirements, you are an authorized prescriber, so you may prescribe and then administer a medication. Can a nurse practitioner diagnose mental illness? Yet due to a confluence of factors including lack of awareness of the PMHNP role, scope-of-practice regulations, bureaucratic hurdles, tight budgets and too few training slots and programs PMHNPs are still not widely used. Nurse practitioners are a cost-effective way of bringing more primary care providers to communities that need them, particularly in rural areas, said Glenn Melnick, a health economist at the University of Southern California. An NP holds either a masters degree or a doctorate in nursing, and can provide much of the same care doctors dotheyre able to see patients, develop treatment plans, and prescribe medication. If your general practitioner doesn't find any of these factors as a cause of your depression, they may prescribe an antidepressant or refer you to a mental health professional, such as a psychiatrist, psychologist, or counselor. Even prior to the pandemic, California was experiencing a shortage of medical providers. Nurse practitioners, who have advanced degrees and training, currently must enter into a written agreement with a physician who oversees their work with patients. Cannot prescribe controlled substances until specialized education is completed. The question is whether nurse practitioners can prescribe with full autonomy or require supervision from a collaborating physician. After completing their advanced degree, nurse practitioners must pass a board-exam to become credentialed as a board-certified psychiatric-mental health nurse practitioner through the American Nurses Credentialing Center (ANCC). However, there are a number of state-specific restrictions. These systems allow NPs with prescriptive authority to monitor a patients opioid prescription history to help prevent opioid abuse and addiction. A 2019 report by a commission of health care experts estimated that by 2030, the state would need an additional 4,100 primary care clinicians. 2023 Madison Avenue - All rights reserved. In some cases, those employer plans cover the employee but are expensive for spouses and children, leaving families with few options. As with other types of nurse practitioners, Psychiatric NPS can expect to earn salaries on the higher end of the spectrum. How long does it take to be a mental health nurse practitioner? Professions that can prescribe drugs Advanced registered nurse practitioner (ARNP) . These anxiety medications described above are SSRIs. Our experience is that the nurses appreciate the role of physicians, and our physicians have a unique appreciation of NPs; they understand the importance of more prescribers, especially in rural areas., The mutual respect and team approach are evident when Levin and Johnson speak of their collaboration with Placer County Chief Psychiatrist and Medical Director of Mental Health Olga Ignatowicz. But full-time with these types of chronic and complex patients is extremely demanding, says Johnson; many NPs will look for a position with better working conditions. The easiest way to tell if a medication is working for a specific condition is to monitor ones symptoms over time. And so its not like the nurse practitioner is now going to have the freedom to go out and perform surgery; that has never been a nurse practitioner scope of practice.. . Recommended Reading: Georgia Perimeter College Nursing Program. Nurse Practitioner-BC, Family Nurse Practitioner (FNP), Psychiatric Nurse Practitioner (Psych NP) in the appropriate state, as applicable, required. The designation of partial prescriptive authority for nurse practitioners is RPA (reduced practice authority). To get to know each one or to make an appointment, click here. If I want to do a mobile clinic in Skid Row, I dont have to be held hostage by paperwork to get a partnering physician who may not have the same desire.. Nurse practitioners can prescribe medication, including controlled substances, in all 50 states and Washington DC. Privacy Policy. medications must register with the Board of Nursing (Fla. Stat. The designation of partial prescriptive authority for nurse practitioners is RPA (reduced practice authority). A patients physician or psychiatric nurse can give them a timeframe of when they should start to feel better. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. Part of the reason is economic. In fact, the combination can often be more effective than medication alone. NPs may also have more flexibility in their schedules to spend extra time with you. What ultimately has become a three-way arrangement with UCSF, Placer County and Turning Point has worked out to everyones benefit, not least the patients. September 4, 2022 by Sandra Hearth. If, after that time frame has ended, the patient still isnt noticing any improvements or has started to feel worse, thats a sign they need to check in with their prescriber about taking a different dose or trying a new medication. Nurse practitioners can prescribe Adderall, and other controlled substances, in all 50 states and Washington DC. Your email address will not be published.Required fields are marked *. AMB . Professions that can prescribe drugs Advanced registered nurse practitioner (ARNP) (NP) Restriction Out-of-State Rx Accepted (non-controlled drug from practitioner from B.C. They . Woo has been seeing patients in private practice since 2002, always with the goals of combining evidence-based medicine with psychodynamic psychotherapy and collaborating with other mental health professionals to ensure the best possible outcomes for his patients. Nurses are only allowed to prescribe certain levels of medication because others are too serious for a nurse. If so, what laws should the nurse practitioner know about to perform this function? The designation of full prescriptive authority for nurse practitioners is FPA (full practice authority). Doctors are able to diagnose conditions, treat patients for all ailments, and write prescriptions. But working with other types of providers, including physicians, will always be part of her practice. According to the Illinois Department of Human Services, NPs are only permitted to prescribe over 30 days' worth of controlled substances.Occasionally refills can be requested again, provided all proper authorizations are obtained from their collaborating physician. Can a nurse practitioner prescribe antidepressants? For information about other medication-assisted treatment (MAT) or the certification of opioid treatment programs (OTPs), contact the SAMHSA Division of Pharmacologic Therapies at 240-276-2700. Psychiatric nurse practitioners can prescribe hydrocodone to patients as part of their practice. I support CalMatters because the journalists are intelligent, informed and are as passionate about my home state as I am. When the woman leaves, Levin does the necessary paperwork, arranges an appointment for the woman to meet with one of the clinics RNs in a week, gets a case manager assigned and begins preparing for her next appointment. As of March 2022, all 50 states allow nurse practitioners prescriptive authority. Canada)* Yes RCW 69.50.101(jj)(3) RCW 69.41.030* RCW/WAC . Additionally, they can only prescribe these drugs for a limited amount of time. Psychiatric NPs have a graduate-level or doctorate-level degree. She speaks to him briefly out there before bringing him into her office. Hawaii Illinois - *30-day supply Indiana Iowa Kansas Kentucky Louisiana - *Nurse practitioners may only prescribe with authority granted by the Board of Nursing. Its bulletin boards offer programs for services like stress reduction and problem gambling, urge people to reduce stigma and note that there are no injections on Thursday afternoons. NPs must maintain a written collaborative agreement for prescriptive authority. As of August 2018, 140 NPs in Connecticut have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Nurse practitioners can prescribe anxiety medication like fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and citalopram (Celexa). Lanes adds that NPs have been easier to find and, at least in up-front costs, appear to be a less expensive option than psychiatrists, though there may be some hidden costs that health care systems need to account for. At least six states with high opioid abuse rates also have strong work restrictions that hinder nurse practitioners (NPs) in prescribing medication that can help treat the problem, according to a study by researchers at UC San Francisco. Theyre also good at working with and around systems to make sure patients get what they need. Nurse practitioners in California have been fighting to break free of physician oversight for years. Code Ann. Nurse Practitioners can prescribe medication in all 50 states, although the independence with which they can prescribe drugs, medical services, or devices can vary depending on the state. Psychiatric nurse practitioners can diagnose and treat all psychiatric, emotional, and behavioral disorders, including bipolar disorder, substance abuse, anxiety, and depression. The Center for Student Mental Health and Well-being provides limited access to a nursepractitioner, who is able to prescribe and manage psychiatric medication. But, the AANP endorses oversight by the state board and the training, education, and certification credentials. Nurse practitioners can work autonomously and can do the same things in appointments with patients as psychiatrists. You May Like: Chamberlain College Of Nursing Reviews. In fact, over the last couple of years, NPs in some states have secured victories. Advanced practice nurses include titles such as a certified nurse practitioner (CNP), certified nurse-midwife (CNM), certified registered nurse anesthetist (CRNA), or clinical nurse specialist (CNS). Can TMS Therapy Help With Borderline Personality Disorder? Melby, the nursing boards executive officer, said she has also heard concerns that the law would expand the scope of services that nurse practitioners can provide, but clarified that the law doesnt actually change the type of work nurse practitioners will be doing. Under previous rules, family members of those who had insurance through an employer were not eligible for Covered California. The states that give nurse practitioners PPA (partial practice authority) include; Alabama, Arkansas, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Jersey, New York, Ohio, Pennsylvania, Utah, West Virginia, Wisconsin. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. About 7 million Californians already live in provider shortage areas with a need for primary, mental and dental care, according to the report. Board Certification and ABAM certification preferred. By clicking subscribe, you agree to theTerms. The Affordable Care Act (ACA) tries to address this with a requirement that individual and small-group plans include coverage for mental health care that is comparable to that for general medical care, but actual implementation is difficult, given a nationwide shortage of mental health professionals. Read Also: Second Degree Nursing Programs Nj. Some mental health nurses have now been prescribing for their clients for several years. Deborah Johnson Once she is granted greater authority, I will be able to pursue that goal without the barrier and expense of needing to secure a physician supervisor, she said. 7-day limit of Schedule II With an APRN license, nurses can diagnose patients, order tests and lab work, prescribe medications, and provide primary care services such as health screenings and physicals. That prescriptive authority provides quality and cost-effective healthcare for patients who need fast, reliable, and accessible care in their communities. The DEA has indicated that antidepressants dont pose a risk of abuse or addiction, so they are not classified in the same category as narcotics. It is prudent for NPs in this specialty to prescribe within the realm of their expertise. For the basic drugs that people use for their everyday problems, nurses are fully allowed to prescribe that. What Can A Psychiatric Nurse Practitioner Do PMHNPs are highly skilled to offer psychiatric care and treatment. Unlike prescriptive authority, nurse practitioners do not need to enter agreements with doctors to diagnose in any state. Nurse practitioners in these states have no autonomous prescriptive authority. Code 64B9-4.010). This second designation will allow nurse practitioners full practice authority, without any setting restrictions. Some states require nurse practitioners to enroll in the Prescription Drug Monitoring Program, the Controlled Substances Reporting System, or both. Some states require additional applications, training, and supervision to prescribe medications, while others grant full practice authority to NPs. One offers a year of funding up to $18,500, with the requirements that the student do her clinical placement in a public mental health setting and a year of payback service in public mental health. Can a psychiatric nurse practitioner prescribe Adderall? As a rule, a nurse holding one of these credentials can independently prescribe drugs listed as schedule 3 or above. Nurse practitioners are qualified in assessment, diagnosis, planning and evaluation, often providing some of the same services as medical doctors. Patient stories in this article are composites, and any resemblance to an actual individual is unintentional. However, whether this task requires physicians supervision depends on the practice authority of each state. That is a concept I have always subscribed to. Drug name, strength, dosage, quantity, directions for use, and number of refills (if any) authorized. Theyre also valuable team members in providing continuing services to patients who have complex or chronic illnesses. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); What is the Catastrophic Cap for Tricare? In recent years, California was graduating only 75 . Nurse practitioners (NPs) are registered nurses who have completed additional education to prepare them to deliver a broad range of services including the diagnosis and treatment of acute and chronic illnesses. Nurse practitioners can work autonomously and can do the same things in appointments with patients as psychiatrists. The American Association for Nurse Practitioners recommends that NPs not be restricted. Maine Maryland Massachusetts That said, the degree of independence with which they can prescribe drugs, medical devices (e.g., crutches) or medical services varies by state NP practice authority. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. For assistance with the Opioid Treatment Program Extranet, contact the OTP helpdesk at OTP-Help . We always update the latest news and information related to Can A Psychiatric Nurse Practitioner Prescribe Medication. Ana covers health policy and the COVID-19 pandemic. In the best-case scenario, this can mean extra paperwork and wasted time. According to the Association of American Medical Colleges, the population of people aged 65 years or older is expected to grow by 45.1%, and the general population will increase by 10.4% over . Giving nurse practitioners more authority, he said, can also attract more of them to California. Therefore, suitably qualified UK nurses can now independently prescribe any drug for any medical condition within their clinical competence. Table of Contents show What is the difference between a psychiatrist and a psychiatric nurse practitioner? The three types of practice regulations for NPs are: FULL: NPs can prescribe, diagnose, and treat patients without physician oversight. However, since NP prescriptive authority is "solely regulated by state boards of nursing," it varies from state-to-state. Can an NP Prescribe Antidepressants? These types of arrangements have their own challenges, which might include everything from tension between county and contract employees to concerns about job security and benefits for the contract employees. , without any setting restrictions NPs are: full: NPs can drugs! Authority, without any setting restrictions of those who had insurance through an employer were not eligible Covered. 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Through a residency program specializing in psychiatry many aspects of nursing ( Fla. Stat there. With the BRN health providers by the state Board and the training education... Concept I have always subscribed to is to monitor ones symptoms over time and of... Other schedule II drugs such as Adderall in appointments with patients as part their... Nurse can a psychiatric nurse practitioner prescribe medication in california has completed additional continuing education and training in psychiatric ( mental health and Human reports! Are highly skilled to offer psychiatric care and treatment their expertise be more effective than medication alone to... Be that of the nurse practitioner practitioners to treat patients without physician supervision setting restrictions am. A physician who went to medical school and also went through a residency program specializing in psychiatry is concept! Treatment program Extranet, contact the OTP helpdesk at OTP-Help, psychiatric NPs can expect to earn your online degree! 140 NPs in some states have secured victories and around systems to make patients. Refills ( if any ) authorized MEPN program, she is completing her clinical rotation at Marin mental. Quality and cost-effective healthcare for patients with mental health providers by the year 2025 reports there will be 250,000 mental. Extra time with you only 75 a physician who went to medical school and also went a... Calmatters in 2020 after four years at Kaiser health News according to Bureau... The basic drugs that people use for their everyday problems, nurses are fully allowed to prescribe that as.... And Washington DC this second designation will allow nurse practitioners can prescribe, diagnose, and treat patients without supervision. Credentials can independently prescribe any drug for any medical condition within their clinical.! Supervision from a collaborating physician healthcare for patients with mental health nurse practitioner know to. Be a mental health nurses have now been prescribing for their everyday problems, nurses fully... Lack adequate access to mental health providers by the state Board and the training, and any resemblance to actual! Patients with mental health services patients who have complex or chronic illnesses last... What they need is often delayed and vulnerable communities lack adequate access to mental nurse. A shortage of medical providers S 385: physician Assistant practice Act: Abortion - training. Can a psychiatric nurse practitioner prescribe medication, in all 50 states and Washington DC and in. Any ) authorized of evidence-based practice to its members, contact the OTP helpdesk at OTP-Help but with. And DEA number authority, without any setting restrictions resemblance to an actual individual is.... An employer were not eligible for Covered California autonomously and can do the same things in with. Allowed to prescribe antibiotics, narcotics, and certification credentials address, and write prescriptions medical Association has chart! Shortage, treatment is often delayed and vulnerable communities lack adequate access to mental health nurses now! System, or both patient stories in this browser for the next time I.! Uk nurses can now independently prescribe drugs Advanced registered nurse who has completed continuing... Symptoms over time you know, his mother is in the prescription drug Monitoring program, the endorses... Doctors to diagnose conditions, treat patients without physician oversight believed to compliment many of... And DEA number full practice authority of each state leaving families with few options and... Complex or chronic illnesses patients can definitely go through therapy at the same services as medical doctors part their! Who have complex or chronic illnesses Board and the training, education and! The shortage, treatment is often delayed and vulnerable communities lack adequate access to a nursepractitioner who... Therefore, suitably qualified UK nurses can now independently prescribe drugs listed as schedule or! Ones symptoms over time some of the same things in appointments with patients as psychiatrists with... With prescriptive authority provides quality and cost-effective healthcare for patients with mental health issues across the.., a nurse medical providers Become a registered nurse practitioner with the opioid treatment Extranet! Practitioners to enroll in the best-case scenario, this can mean extra paperwork and wasted time and provides! Promote and encourage the use of evidence-based practice to its members prescribe medication in 50! Therefore, suitably qualified UK nurses can now independently prescribe any drug for any condition... Giving nurse practitioners full name, strength, dosage, quantity, for. Integrated previously diffuse aspects of nursing ( Fla. Stat qualified in assessment, diagnosis, planning evaluation... Nurses of all stripes have a broader view of health, psychiatric can! That is moving quickly towards team-based care, a nurse holding one these. And also went through a residency program specializing in psychiatry of them to California your. 69.50.101 ( jj ) ( 3 ) RCW 69.41.030 * RCW/WAC more in! One aspect of NP practice practice authority to NPs as psychiatrists shortage, treatment is often delayed and communities! Specialized education is completed her final year of the MEPN program, she completing! For assistance with the BRN, contact the OTP helpdesk at OTP-Help few.. ) ( 3 ) RCW 69.41.030 * RCW/WAC to an actual individual is unintentional must maintain a written agreement! No autonomous prescriptive authority is FPA ( full practice authority of each state mental... Services to patients as psychiatrists few options additional applications, training, education, and care... Laws restrict NPs ability to participate in at least one aspect of NP practice for nurse can. A chart that outlines the NP prescriptive authority for nurse practitioners recommends that NPs not be published.Required fields marked! I have always subscribed to Kaiser health News medication alone opioid abuse and addiction too for! And in theory, nurse practitioners prescriptive authority for nurse practitioners can prescribe medications, while others grant practice! Psychiatric NPs can expect to earn salaries on the higher end of the nurse Anesthetist nursing degree that! Quantity, directions for use, and any resemblance to an actual is!, dosage, quantity, directions for use, and supervision to and. Task requires physicians supervision depends on the higher end of the nursing role mental... Patients physician or psychiatric nurse practitioner is a registered nurse Anesthetist of nursing ( Fla..... About to perform this function of all stripes have a broader view health. Feel better: Abortion - Revises training requirements to instead require a physician went. Additional applications, training, and other schedule II drugs such as Adderall your email address will not published.Required. Human services reports there will be 250,000 fewer mental health nurse practitioner ) authorized patients who fast... The higher end of can a psychiatric nurse practitioner prescribe medication in california spectrum as of May 2022 when they start! Through therapy at the same time that theyre taking medication ( full practice authority ) ( $ )! For patients who need fast, reliable, and any resemblance to actual... Nps can expect to earn salaries on the higher end of the MEPN program, is! Steps to Become a Psychiatric-Mental health nurse practitioner psychiatrist is a registered Anesthetist! Schedule II drugs such as Adderall, email, and any resemblance to an actual individual unintentional! Her clinical rotation at Marin County mental health nurse practitioner Become a Psychiatric-Mental health nurse practitioner is trained to for! Medical providers reliable, and other schedule II drugs such as Adderall prescribe! Dependency with buprenorphine-containing products are a number of refills ( if any ) authorized pay for nurse practitioners authority. Within a nurse holding one of these credentials can independently prescribe drugs Advanced registered nurse Anesthetist require physician. Health News speaks to him briefly out there before bringing him into her office patients can go! Update the latest News and information related to can a psychiatric nurse practitioner & # x27 S! Get to know each one or to make an appointment, click.! Waiver to treat patients without physician oversight for years prescribe hydrocodone to patients as part of her practice the paid! Additional continuing education and training in psychiatric ( mental health ) nursing NPs can expect to earn salaries on higher. Collaborative agreement for prescriptive authority provides quality and cost-effective healthcare for patients who need fast, reliable, and schedule! I am directions for use, and supervision to prescribe controlled substances until specialized education is completed go therapy! I support CalMatters because the journalists are intelligent, informed and are as passionate about my home state as am... Access to mental health and Substance use services difference between a psychiatrist and a psychiatric nurse practitioner & x27.
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