COLLABORATIVE PRACTICE AGREEMENT - LSBN
collaborative practice agreement including all parameters of practice. Copy this page if needed in order to Copy this page if needed in order to provide the required originaldated signatures of all collaborating professionals for this practice site.
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CERTIFICATIONS RECOGNIZED BY LSBN AS …
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LOUISIANA STATE BOARD OF NURSING 17373 …
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Louisiana State Board of Nursing
www.lsbn.state.la.usLOUISIANA STATE BOARD OF NURSING . 17373 Perkins Road, Baton Rouge, LA 70810 * (225) 755-7500 * Fax: (225) 755-7581 * www.lsbn.state.la.us * APPLICATION FOR ADVANCED PRACTICE REGISTERED NURSE L ICENSE
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Louisiana State Board of Nursing
www.lsbn.state.la.usLouisiana State Board of Nursing 17373 Perkins Road Baton Rouge, LA 70810 Telephone: (225) 755-7500 Fax: (225) 755-7580 www.lsbn.state.la.us LSBN APPROVED NURSING EDUCATION PROGRAMS
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www.lsbn.state.la.usEvery year a random selection of registered nurses licensed in Louisiana (even if residing out of state) will be subject to the audit process.
Louisiana State Board of Nursing
www.lsbn.state.la.usLouisiana State Board of Nursing 17373 Perkins Road, Baton Rouge, LA 70810 Main Telephone: (225) 755-7500 www.lsbn.state.la.us Dear Applicant:
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Louisiana State Board of Nursing
www.lsbn.state.la.us6. In the event all collaborating physicians for a practice site previously submitted to and approved by the board are unavailable, the approved collaborating physician for the practice site may designate an “alternative collaborating
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LOUISIANA STATE BOARD OF NURSING 17373 Perkins Road …
www.lsbn.state.la.usThe Board of Nursing may deny, revoke, or suspend any license to practice as a registered nurse, or otherwise discipline an individual, including students in clinical nursing courses, in accordance with its statutory authority granted in La. R.S.
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