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and clinical competency in provision of primary care services. Clinical competency will be verified by both a licensed physician and a licensed nurse practitioner.According to Nursing Lincensure.org the state of Washington prospective ARNP must complete an approved advanced practice program. A nurse practitioner program may have a broad focus – family practice – or may focus on a narrower population. Students will receive no fewer than 500 hours of patient care under faculty oversight. A Washington program will seek accreditation through an agency recognized by the Council on Higher Education Accreditation or the United States Department of Education. In the state of Illinois, a prospective advanced practice nurse must earn a graduate degree or post-master certificate. The individual must complete a program that offers preparation for advanced practice certification. Weill, V. A., Treston, J. A., & O’Sullivan, A. N. N. L. (2008). Credentialing, Licensure, and Certification Considerations. The Doctor of Nursing Practice and Clinical Nurse Leader: Essentials of Program Development and Implementation for Clinical Practice,