NameEBONY RENEE WALKER
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.12860-NP Certified Nurse Practitioner 10/31/2011 07/12/2013 08/31/2015 LAPSED
CTP.12860- Prescriptive Authority 10/31/2011 08/28/2013 08/31/2015 LAPSED
CTP.12860-EX1 Prescriptive Authority - Externship 10/31/2011 10/31/2011 10/31/2012 CLOSED
CTP.12860-EX2 Prescriptive Authority - Externship Extension 10/31/2011 08/28/2013 10/31/2013 CLOSED
IR.947982-ENDS Registered Nurse - Temporary Work Permit 01/22/2009 01/22/2009 07/22/2009 CLOSED License Issued
RN.349710-1 Registered Nurse-1 Certificate of Authority 05/13/2009 07/12/2013 08/31/2015 LAPSED Endorsement
License and Registration Information (cont.)
CredentialSpecialty 1Certifying Org 1Certifying ExpDate 1Specialty 2Certifying Org 2Certifying ExpDate 2Specialty 3Certifying Org 3Certifying ExpDate 3
COA.12860-NPNP - WOMEN'S HEALTHNCC9/30/2014
Effective February 1, 2011, the Board will require primary source verification for advanced practice nurse national recertification. For this to occur, an advanced practice nurse must request that their national certifying organization notify the Board directly of national recertification within thirty days of their recertification. The Board will no longer accept documentation of recertification directly from a COA holder.

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