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The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the advanced knowledge, skills, and credentialing required to function in advanced practice and expanded specialty nursing. The NP has the responsibility and accountability for the assessment and management of patients, including ordering diagnostic tests, consultations, therapeutic interventions and the day to day implementation and evaluation of an appropriate plan of care. As an advanced practitioner, the NP is essential to the case management of patient with specialized health needs. The NP works in collaboration with the attending physician, primary nurse and other health care providers to provide family centered care. The NP is responsible and accountable for the development and application of specialty practice standards, and research to enhance the quality of care to the patient and the patient's family.