DNP_Student_Handbook.pdf — PaddleOCR-VL (Baidu)

BETTY WHITE HEALTH CENTER

Graduate Nursing Program Adult-Gerontology Primary Care DNP Program Practicum Sites Preceptors

Facility Name ___

Address ___

City, State, Zip ___

Phone Number ___

Type of site (rural clinic, private practice, health department, hospital clinic, educational institution) Characteristics of Patient/Care/Learners (gender, age, ethnicity) Experience Available

Name and credentials of Preceptor	Practice Specialty	Certification (Certifying agency and expiration date)	Years of Practice in Specialty Area	Previously Preceptor for NP/DNP Students (Y/N)	State Licensure Number and Expiration Date
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