Application form

FAMILY NURSE PRACTITIONER

Full-Time

 Hours

8, 10, 12 Hour Shifts, Days/Evenings/Rotating Weekends

Previous Experience Required

Must be credentialed and approved for privileges through the established Medical Staff Committees initially and on an ongoing basis.

Specialized or Technical Education Required

Licensed in the State of Louisiana as an Advanced Practice Registered Nurse. Maintenance of DEA license is required.

Manual or Physical Skill Required

Physical Effort Required

Must possess good physical health. Required to stand for long periods of time. Lifting and transporting of patients is required. Motor coordination and manual dexterity are necessary. Strength: Light; Push: Occasionally; Pull: Occasionally; Carry: Occasionally; Lift: Occasionally; Sit: Frequently; Stand: Frequently; Walk: Frequently

 

Personal Information

*All below fields are required.

Referral Information

*All below fields are required.

Placement Information

*All below fields are required.

Education

High School

*All below fields are required.

College

Graduate School

Vocational School/ Other

Certifications / Licenses

License 1

License 2

License 3

License 4

Skills & Qualifications

Employment History

Current Employer

Previous Employer 1

Previous Employer 2

References

*All below fields are required.

Reference 1

Reference 2

Reference 3

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