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Rhode Island Board of Nurse Registration and Nursing …

Board of Nurse Registration and Nursing EducationRoom 1033 Capitol Hill Providence, RI 02908-5097 Instuctions and License Application for APRN:**FOR OFFICE USE ONLY**Receipt #ID #Issue DateLicense #Phone: (401) 222-5700 Fax: (401) 222-6683 TTY/TDD: (800) 745-5555 CNP Adult/gerontologyRevised 11/08/2018 jcp*Do Not Hand Deliver - Application Must Be Mailed* Rhode IslandCNP Family/individual across the lifespanCNP NeonatalCNP PediatricCNP Psychiatric/mental healthCNP Women s health/gender relatedCNS Adult/gerontologyCNS Family/individual across the lifespanCNS NeonatalCNS PediatricCNS Psychiatric/mental healthCNS Women s health/gender relatedCRNA Family/individual across the lifespanSelect 1 Population FocusApplicant - Print Name LAST NAMEFIRST NAMEMII am the spouse of someone in active military duty or the spouse of a reservistI am a military veteran with honorable dischargeI am in active military duty or a reservistMILITARY STATUS ELIGIBILITYP lease check ONE of the following criteria for expedited application.

Copy of Active RN license in Rhode Island Letter of APRN certification from professional certifying organization. National Criminal Background check supported by fingerprints. This report MUST be sent directly from the De- ... Controlled Substance Registration (CSR) and a Drug Enforcement Administration (DEA) Registration.

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