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Applicable ONLY to B4 and B5 Certified copies of all disciplinary actions from the Boards that imposed action Applicable ONLY to B1 B2 and B3. PENNSYLVANIA STATE BOARD OF NURSING P. O. BOX 2649 HARRISBURG PA 17105-2649 PHONE 717 783-7142 FAX 717 783-0822 www. To obtain CRNP prescriptive authority complete a separate application for prescriptive authority. Provide evidence of 2 hours of education in pain management or identification of addiction and 2 hours of education in the practices of...
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Step 1: Access the GovNurse website
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Step 2: Click on the 'Fill out GovNurse' button
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Step 3: Enter your personal information in the required fields
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Step 4: Provide information about your medical history and any current health conditions
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Who needs govnurse?

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Individuals seeking professional nursing services
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Patients requiring daily medical care and monitoring
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People with chronic illnesses or disabilities
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Seniors in need of healthcare support
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Anyone in need of skilled nursing assistance at home
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Govnurse is a government form used to report important healthcare information.
Healthcare providers, hospitals, and clinics are required to file govnurse.
You can fill out govnurse online or by mail with the required information.
The purpose of govnurse is to ensure accurate and timely reporting of healthcare data.
Information such as patient demographics, diagnosis codes, and treatment provided must be reported on govnurse.
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