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Tri-City Mental Health Authority
Apply for: Nurse Practitioner (Psychiatric) (20631437)
Apply for: Nurse Practitioner (Psychiatric) (20631437)
Prequalification questionnaire
Personal Information
Education
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Standard Questions
Supplemental Questionnaire
Confirmation
Prequalification questionnaire
Do you possess a Master’s Degree in Nursing (MSN) or a Doctorate of Nursing Practice (DNP) with emphasis in psychiatric/mental health field?
Yes
No
Do you have experience working with people with serious mental illnesses?
Yes
No
Have you completed at least 4,600 hours (3 full-time equivalent years) of supervised clinical practice as a Nurse Practitioner within the five years prior to application, as required for a 103 certification (under B&P Code 2837.103)?
Yes
No
Are you nationally board certified as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) from a recognized certifying body (e.g., American Nurses Credentialing Center [ANCC], American Academy of Nurse Practitioners [AANP], Pediatric Nursing Certification Board [PNCB])?
Yes
No
Are you licensed or registered for prescribing controlled substances with the Drug Enforcement Agency (DEA)?
Yes
No
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