The nurse practitioner (NP) is to practice to the full extent of their education, training and certification, without the clinical supervision or mandatory collaboration of physicians, as a licensed independent practitioner to provide patient care service. Collaborates with other disciplines to develop, implement, and coordinate a system of patient care delivery that promotes high quality care, patient satisfaction, positive outcomes, appropriate utilization of resources. Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of