primary care nurse

The MedElite Group

<div>
 
 Primary Care Nurse Practitioner/Physician's Assistant
 
 
 
 
 Location:
 
 Kilgore, TX
 
 
 
 Schedule:
 
 Part-Time (weekends)
 
 
 
 Salary:
 
 $60,000 &ndash; $90,000 per year
 
 
 
 About Infinite Medical P.C.
 
 
 
 Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
 
 
 
 Job Summary
 
 
 
 The Company is currently hiring a
 
 Primary Care Nurse Practitioner/Physician's Assistant (NP/PA)
 
 to provide on-site care to residents in long-term care settings. This is a
 
 part-time
 
 position ideal for a provider who values meaningful patient relationships and a collaborative care environment.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Provide primary care services to residents in skilled nursing and long-term care facilities
 </li>
 <li>
 Perform physical exams and medical history assessments
 </li>
 <li>
 Diagnose and treat chronic and acute health conditions
 </li>
 <li>
 Order and interpret diagnostic tests and lab results
 </li>
 <li>
 Develop and adjust individualized care plans
 </li>
 <li>
 Prescribe medications and monitor treatment effectiveness
 </li>
 <li>
 Collaborate with facility staff and interdisciplinary teams
 </li>
 <li>
 Educate patients and families about treatment options and care goals
 </li>
 <li>
 Ensure a safe, respectful, and supportive environment for residents
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 Active and unrestricted Nurse Practitioner, Physician Assistant, or Physician license
 </li>
 <li>
 State-specific license in good standing in Texas
 </li>
 <li>
 Minimum 6 months of experience in long-term care or a skilled nursing facility
 </li>
 <li>
 Strong communication, clinical, and critical thinking skills
 </li>
 <li>
 Passion for elder care and person-centered healthcare
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 Competitive salary: $60,000 &ndash; $90,000 per year
 </li>
 <li>
 Paid Time Off
 </li>
 <li>
 Malpractice Insurance
 
 
 </li>
 </ul>
 
 Why Work With Us?
 
 
 
 <ul>
 <li>
 Make a meaningful impact on the lives of seniors
 </li>
 <li>
 Work in a collaborative, mission-driven environment
 </li>
 <li>
 Enjoy work-life balance
 
 
 </li>
 </ul>
 
 Equal Opportunity Employer
 
 
 
 Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
 
 
 The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
 
 
 
 Ready to Make a Difference?
 
 
 
 Apply today and help us deliver compassionate, personalized care where it matters most.
</div>

Primary Care Nurse Practitioner

Children's Hospital of Philadelphia

<div>SHIFT:
Any (United States of America)
Seeking Breakthrough Makers 
 
Children&rsquo;s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. 
 
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care&mdash;and your career. 
 
CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. 
 
A Brief Overview
Children's Hospital of Philadelphia is seeking a Primary Care Nurse for their Havertown Primary Care office. This position will be Monday-Friday and will require one evening shift per week and rotating Saturday shift. The shift will be dependent upon the operational need.
Pediatric and two years of nursing experience preferred.
Position will be posted for 3 business days to allow for internal applicants to be considered. 
The Primary Care Nurse is a clinically competent practitioner of pediatric, family centered nursing. The nurse at this level provides safe nursing care to the general unit population with minimal guidance, and bases practice on identified principles and standards of care. The nurse must demonstrate competence in caring for patients with moderate to complex health issues and assist the Site Manager with administrative issues which affect the clinical practices within the office as well as comply with the administrative policies and clinical protocols as outlined in policy and procedure manual. Administratively responsible to the Site Manager and Ambulatory Nursing Director for nursing practice issues. Must be willing to rotate to other Care Network sites within the designated cluster. 
 
What you will do<ul><li>
1. Follows Nursing Process to deliver safe care: assessment, planning, implementation, and evaluation</li><li>
Synthesizes patient assessment data and recognizes complex situations prior to communicating with care team.</li><li>
Collaborates with family, team members and other caregivers to initiate/update plan of care, patient/family education and discharge needs.</li><li>
Manages care of complex patients utilizing proper prioritization and delegation to appropriate staff.</li><li>
Identifies expected outcomes and revises plan of care when unexpected outcomes arise and begins to use full range of communication as a means of conveying plan.</li><li>
Documentation reflects ongoing evaluation and effectiveness of patient care utilizing current hospital standards, policies and procedures.</li><li>
Provides care that meets professional standards of practice and meets regulatory requirements.</li><li>
2. Professionalism/Leadership</li><li>
Role models appearance and behaviors that promote a positive image of nursing</li><li>
Interacts with parents/patients and colleagues with respect and dignity.</li><li>
Spends the &ldquo;extra time&rdquo; with families listening for avenues to improve on the ideal patient experience.</li><li>
Understands the impact of arriving to work on time and is ready to start the shift and predicts challenges and obstacles.</li><li>
Provides an accurate patient status report to members of the team that reflect nursing interventions and patient outcomes.</li><li>
Actively participates in patient care rounds and can make recommendations to the plan of care.</li><li>
Chairs and/or participates in unit PPM council and may participate in departmental PPM council.</li><li>
3. Research</li><li>
Reads nursing articles, analyzes information and initiates staff discussion(s).</li><li>
Assists with data collection in research studies being conducted in work area.</li><li>
Participates in efforts to apply research findings to clinical practice.</li><li>
Can frame a basic research question.</li><li>
4. Learning</li><li>
Able to identify own learning needs. Seeks out opportunities to meet needs and attends all required programs.</li><li>
Applies education and training from internal in-services to daily work to enhance personal nursing knowledge and skills.</li><li>
Attends education programs related to patient population.</li><li>
Utilizes patient education materials relevant to patient population.</li><li>
Demonstrates health care informatics competency in order to manage patient care, outcome data and current and emerging health care technology, which includes:</li><li>
Basic computer competency, including the effective use of patient care devices, computers, computer software programs such as e-mail and word processing programs, and shared network file space.</li><li>
Information literacy, including the effective use of the intranet and internet to find electronic resources for patient care, nursing practice and evidence-based decision-making;</li><li>
Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools and the ability to discuss, evaluate and analyze outcome data presented in charts and tables.</li><li>
5. Resource Management</li><li>
Participates in promoting quality, efficient and cost effective care.</li><li>
Monitors own usage of supplies and equipment/identifies opportunities for improvement and makes recommendations.</li><li>
Manages own time to accomplish direct/indirect care in a cost efficient manner.</li></ul>
Education Qualifications<ul><li>
Technical Diploma Nursing Required</li><li>
Bachelor's Degree Nursing Preferred</li></ul>
Experience Qualifications<ul><li>
At least two (2) years nursing Preferred</li><li>
Pediatric experience Preferred</li><li>
Previous supervisory Preferred</li></ul>
Skills and Abilities<ul><li>
Computer Competency</li><li>
Basic use of a computer (mouse, keyboard, printer, USB ports).</li><li>
Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).</li><li>
Web browsing, intranet search, document access.</li><li>
Use of shared network file space.</li><li>
Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).</li><li>
Navigation and use of clinical communication systems.</li><li>
Information Literacy</li><li>
Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.</li><li>
Accesses needed information effectively and efficiently.</li><li>
Evaluates information and its sources critically and appropriately incorporates it into clinical practice.</li><li>
Evaluates outcomes of the use of information.</li><li>
Information Management Literacy</li><li>
Navigation of the electronic health record system.</li><li>
Ability to locate and review specific patient data in various clinical information systems.</li><li>
Effectively uses clinical decision support tools.</li><li>
Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.</li><li>
Ability to collect clinical data using quality improvement tools.</li></ul>
Licenses and Certifications<ul><li>
Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or</li><li>
Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required and</li><li>
Basic Life Support (BLS) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required</li></ul> 
To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. 
 
EEO / VEVRAA Federal Contractor | Tobacco Statement
SALARY RANGE:
$39.26 - $50.06 Hourly
Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.
-
At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.</div>

Primary Care Nurse - Haverford

Wells Health

<div><h3 class="jobSectionHeader">Role Overview</h3>
The Primary Care NP provides comprehensive medical management to residents within Assisted Living Program (ALP) facilities. Unlike a traditional clinic, this role brings the &quot;Doctor&rsquo;s Office&quot; to the resident. You will manage a dedicated panel of patients across multiple sites in the Utica/Rome area, focusing on &quot;treating in place&quot; to reduce unnecessary ER transfers and improve the quality of life for the geriatric population.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>
Clinical Management: Perform comprehensive physical exams, diagnostic screenings, and acute &quot;sick visits&quot; at the patient&rsquo;s bedside within the ALP.</li><li>
Chronic Disease Oversight: Manage complex geriatric conditions including COPD, CHF, Diabetes, and Cognitive Impairment (Dementia/Alzheimer's).</li><li>
Travel &amp; Coverage: Travel daily between assigned facilities within the Utica cluster (typically 2&ndash;4 sites depending on census).</li><li>
Medication Management: Conduct regular medication reviews to reduce polypharmacy and ensure compliance with NYS Department of Health (DOH) regulations for ALPs.</li><li>
Care Coordination: Act as the primary liaison between facility staff (Directors of Nursing), families, and outside specialists or hospice providers.</li><li>
Documentation: Maintain timely and accurate EMR records (Electronic Medical Records) to meet NYS Medicaid and Medicare billing requirements.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Licensure: Active New York State Nurse Practitioner license (FNP, ANP, or AGNP) in good standing.</li><li>
Certifications: Board Certification (AANP/ANCC) and active DEA registration.</li><li>
Experience: Minimum of 1&ndash;2 years in Primary Care, Geriatrics, or Long-Term Care is preferred.</li><li>
Mobility: Valid NYS Driver&rsquo;s License and a reliable vehicle for travel within the Central NY region.</li><li>
Compliance: Active NYS Medicaid Provider ID (or eligibility to obtain one).</li></ul><h3 class="jobSectionHeader">
Preferred Skills</h3><ul><li>
Strong interpersonal skills for navigating the social dynamics of assisted living environments.</li><li>
Ability to work autonomously with remote physician collaboration.</li><li>
Proficiency in wound care, minor procedures, and palliative care discussions.</li></ul><h3 class="jobSectionHeader">
Regional Geography: The Utica Cluster</h3>
The &quot;Utica Cluster&quot; generally includes facilities in the following areas:<ul><li>
Oneida County: Utica, Rome, New Hartford, Whitesboro, and Clinton.</li><li>
Herkimer County: Herkimer, Little Falls, and Ilion.</li></ul>
Your role is crucial in helping residents maintain their independence. You are often the highest-level medical decision-maker on-site.</div>

Primary Care Nurse Practitioner (Mobile)

<div><h3 class="jobSectionHeader">Role Overview</h3>
The Primary Care NP provides comprehensive medical management to residents within Assisted Living Program (ALP) facilities. Unlike a traditional clinic, this role brings the &quot;Doctor&rsquo;s Office&quot; to the resident. You will manage a dedicated panel of patients across multiple sites in the Valley Stream area, focusing on &quot;treating in place&quot; to reduce unnecessary ER transfers and improve the quality of life for the geriatric population.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>
Clinical Management: Perform comprehensive physical exams, diagnostic screenings, and acute &quot;sick visits&quot; at the patient&rsquo;s bedside within the ALP.</li><li>
Chronic Disease Oversight: Manage complex geriatric conditions including COPD, CHF, Diabetes, and Cognitive Impairment (Dementia/Alzheimer's).</li><li>
Travel &amp; Coverage: Travel daily between assigned facilities within the Utica cluster (typically 2&ndash;4 sites depending on census).</li><li>
Medication Management: Conduct regular medication reviews to reduce polypharmacy and ensure compliance with NYS Department of Health (DOH) regulations for ALPs.</li><li>
Care Coordination: Act as the primary liaison between facility staff (Directors of Nursing), families, and outside specialists or hospice providers.</li><li>
Documentation: Maintain timely and accurate EMR records (Electronic Medical Records) to meet NYS Medicaid and Medicare billing requirements.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Licensure: Active New York State Nurse Practitioner license (FNP, ANP, or AGNP) in good standing.</li><li>
Certifications: Board Certification (AANP/ANCC) and active DEA registration.</li><li>
Experience: Minimum of 1&ndash;2 years in Primary Care, Geriatrics, or Long-Term Care is preferred.</li><li>
Mobility: Valid NYS Driver&rsquo;s License and a reliable vehicle for travel within the Central NY region.</li><li>
Compliance: Active NYS Medicaid Provider ID (or eligibility to obtain one).</li></ul><h3 class="jobSectionHeader">
Preferred Skills</h3><ul><li>
Strong interpersonal skills for navigating the social dynamics of assisted living environments.</li><li>
Ability to work autonomously with remote physician collaboration.</li><li>
Proficiency in wound care, minor procedures, and palliative care discussions.</li></ul><h3 class="jobSectionHeader">
Regional Geography: The Valley Stream area</h3></div>

Mercy

<div><div><ul><li>Springfield, Missouri</li><li>
Nursing</li><li>
Nursing</li><li>
Regular</li><li>
Full-time</li><li>
Remote</li><li>
JR248682</li></ul><div><div><div><div><div>
</div></div></div></div></div></div><div></div><div><div><h1 class="jobSectionHeader">
Find Your Calling At Mercy!</h1>
Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a systematic way. The Primary Care Nurse will partner with patients, providers, and other members of the clinical care team to drive quality outcomes for an attributed panel. Duties and responsibilities will be performed in a manner consistent with our mission, values, and Mercy Service Standards.<h1 class="jobSectionHeader">
Position Details:</h1>
Minimum Requirements: 
Education: Diploma in Associate of Applied Science in Registered Nursing 
Licensure: Active RN licensure 
Preferred Requirements: 
Education: Bachelor of Science in Nursing<h1 class="jobSectionHeader">
Why Mercy?</h1>
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.</div></div></div>

Primary Care - Nurse LPN - Mercy Republic

Eventus WholeHealth

<div>
 At Eventus WholeHealth, we believe in transforming healthcare delivery in skilled nursing and assisted living facilities through integrated, evidence-based care. Founded in 2014, our organization is committed to improving patient outcomes with a comprehensive, collaborative approach. We build meaningful partnerships with facilities, empower teams, and uphold the highest standards of clinical excellence.
 
 
 Our innovative platform leverages AI-driven tools to enhance clinical decision-making, streamline workflows, and support proactive, whole-person care.
 
 
 Join our growing team and contribute to a healthcare model that truly makes a difference!
 
 
 
 Position Summary
 
 
 
 As an Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will provide comprehensive primary care services within skilled nursing and senior living communities. This role includes routine rounding, proactive chronic disease management, coordination of care across interdisciplinary teams, and close collaboration with facility partners. Our value-based approach emphasizes preventive care, improved quality outcomes, and a better experience for patients, families, and care teams.
 
 
 
 Qualifications
 
 
 
 <ul>
 <li>
 Current NP or PA licensure in the state of practice
 </li>
 <li>
 Previous professional patient care experience
 </li>
 <li>
 Experience in geriatrics, family medicine, or internal medicine preferred.
 </li>
 <li>
 Exceptional patient-centered service skills, including compassionate communication, active listening, professionalism, and the ability to build trusting relationships with residents, families, and facility staff
 </li>
 <li>
 Strong collaboration skills with the ability to work effectively across interdisciplinary teams
 
 
 </li>
 </ul>
 Why Eventus WholeHealth?
 
 
 <ul>
 <li>
 AI-Enabled Innovation: Work with cutting-edge tools that support clinical excellence, reduce administrative burden, and help you deliver more proactive, whole-person care.
 </li>
 <li>
 Interdisciplinary Collaboration: Partner with physicians, behavioral health specialists, care coordinators, and facility staff to create integrated, person-centered care plans.
 </li>
 <li>
 Mission-Driven Impact: Join a team dedicated to redefining long-term care and improving quality of life for residents every day.
 </li>
 <li>
 Growth &amp; Development: We invest in your professional journey with accessible training, developmental resources, and opportunities to grow your clinical expertise.
 </li>
 <li>
 Flexibility &amp; Balance: Enjoy a schedule with no call and no weekends, supporting a sustainable work-life balance.
 
 
 </li>
 </ul>
 
 Competitive Benefits
 
 
 
 <ul>
 <li>
 Flexibility &ndash; no call, no weekends
 </li>
 <li>
 Paid Time Off + 8 paid Holidays
 </li>
 <li>
 Medical, dental, and vision insurance
 </li>
 <li>
 HSA and FSA options
 </li>
 <li>
 Employer-paid employee life insurance
 </li>
 <li>
 Short-term / long-term disability options
 </li>
 <li>
 Voluntary Life and AD&amp;D Coverage
 </li>
 <li>
 Employer 401(k) contributions
 </li>
 <li>
 Professional licensure reimbursement
 </li>
 <li>
 CME opportunities
 </li>
 <li>
 Fuel card for gas and car maintenance
 </li>
 <li>
 Additional compensation for any extensive travel time
 
 
 </li>
 </ul>
 Learn more at www.eventuswholehealth.com
 
 
</div>

Primary Care Nurse Practitioner/Physician Assistant

Hartford HealthCare

<div>Location Detail: Manchester
Shift Detail: Monday - Friday - No Weekends
Position Details:
Join Hartford HealthCare&rsquo;s thriving adult primary care practice in Manchester, Connecticut - easily accessible, central location just off I-84 and close to some of the area&rsquo;s most desirable communities. Hartford HealthCare&rsquo;s innovative and supportive primary care team in Connecticut where patient-centered care is prioritized enhanced by Ambient AI which streamlines clinical documentation, reduces administrative burden, and empowers physicians to focus more fully on meaningful patient interactions supporting both exceptional care and provider well-being. If you&rsquo;re looking to get more out of your primary care career, this is the place to do it.
Role: Open to Nurse Practitioners (APRN) and Physician Assistants (PA)
Location: Manchester, Connecticut
Setting: 100% Outpatient Primary Care &ndash; Adult Medicine (18+)
Schedule: Full-time
Call schedule: No call required
 Nurse Practitioner and Physician Assistant Benefits:<ul><li>
Market-leading compensation and benefits and generous paid time off</li><li>
Paid CME time off plus CME budget, reimbursed professional licenses and dues</li><li>
Enhanced Tuition Assistance and Higher Education Partnerships</li><li>
Voluntary benefits include student loan programs, home, auto, renters&rsquo; insurance, identity theft protection, legal services, low-interest loans, pet insurance and more!</li><li>
Employee discount programs and colleague assistance offering resources and information for personal and work-life issues</li><li>
Family care benefits through Care.com include emergency back-up care benefit for children, adults and even pets!</li></ul>
Hartford HealthCare supports Nurse Practitioners and Physician Assistants in practice:<ul><li>
Dedicated support and voice for our for-Nurse Practitioners and Physician Assistants through the Office of Advanced Practice directed by Sarah Clark, MBA, MHS, PA-C, BSN, RN, System Director of Advanced Practice</li><li>
Hartford HealthCare is one of the largest, non-profit, fully integrated healthcare systems providing patient care in the state, allowing our providers to care for their patients no matter where they reside in Connecticut</li><li>
With tools like EPIC, Hartford HealthCare&rsquo;s state-of-the-art clinical and informatics technology promotes improved patient outcomes, streamlined continuity of care and superior provider satisfaction</li></ul>
About Hartford HealthCare:<ul><li>
Honored as a &ldquo;Best Organizations for Leadership Development&rdquo; by the National Center for Healthcare Leadership (NCHL)</li><li>
Prestigiously named one of the &ldquo;Best Hospitals to Work for in Connecticut&rdquo; by the Becker's Hospital Review</li><li>
Committed to continuous development through The Center for Education Stimulation &amp; Innovation (CESI), our Provider Leadership Development Institute and a robust on demand learning platform including CME, special courses, learning series and tools and resources</li><li>
Established Mentorship and Orientation programs specially designed for newly hired providers and providers new to practice</li></ul>
Nurse Practitioners and Physician Assistants Role Scope:
Under established guidelines and in collaboration and/or supervision with the practice physician(s), Nurse Practitioners and Physician Assistants perform routine physical examinations, and formulate medical, educational, and psychosocial plans to treat patients.
In consultation with the physician(s) and care team members, Nurse Practitioners and Physician Assistants develop plans for further evaluation of health needs, e.g., referral to other health team members or specialists.
Nurse Practitioners or Physician Assistants provide appropriate treatment for problems within the scope of the provider&rsquo;s practice as designated by protocols and identifies problems outside of their scope of practice and refers appropriately to physicians.<h3 class="jobSectionHeader"> 
Qualifications</h3> 

Requirements:<ul><li>
Licensure: Unrestricted State of Connecticut Medical License (or eligible)</li><li>
Training: APRN (Family, Adult/Geri Nurse Practitioner) or PA_C</li><li>
Experience: 2+ years&rsquo; experience in a primary care or relevant outpatient setting</li></ul></div>

Primary Care - Nurse Practitioner and Physician Assistant

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Primary Care Nurse Practitioner/Physician Assistant

Primary Care - Nurse Practitioner and Physician Assistant