Practicum Site Information
Form
STUDENT INFORMATION
Student name: Nimi George
Student phone number (primary): 512-541-9227
City/town:
Walden email address:
Alternative email address:
Time zone: Central Time
Student practicum site schedule: see below*
PRECEPTOR AND SITE INFORMATION
Preceptor name (first and last): Ngozi Okose
Preceptor credentials (MD, FNP, DO, etc.): LPC, NCC, CCMHC,
PhD Site name: Ngozi Okose
Site address: 2500 ETC Jester Ste
263 City/town: Houston
State: Texas
Preceptor email address:
Preceptor phone
number: 8326069614
Site phone number: 832-606-
9614 Field Site Clinic hours: 9
am-6 pm
NRNP Clinical Calendar for June
2022.pdf NRNP Clinical Calendar for
*You must have specific dates and times, please provide a calendar with
your dates and times written in the days of the week. We must be able to
verify the exact dates you are in practicum setting. We must be able to
see you will meet your hour requirements including holidays off. Simply
stating every Monday for 8 hours is not acceptable.
This study source was downloaded by 100000852681095 from CourseHero.com on 11-28-2022 00:30:04 GMT -06:00
https://www.coursehero.com/file/169704477/NRNP-6645-PRAC-WK1Assgn1GeorgeNdocx/
Form
STUDENT INFORMATION
Student name: Nimi George
Student phone number (primary): 512-541-9227
City/town:
Walden email address:
Alternative email address:
Time zone: Central Time
Student practicum site schedule: see below*
PRECEPTOR AND SITE INFORMATION
Preceptor name (first and last): Ngozi Okose
Preceptor credentials (MD, FNP, DO, etc.): LPC, NCC, CCMHC,
PhD Site name: Ngozi Okose
Site address: 2500 ETC Jester Ste
263 City/town: Houston
State: Texas
Preceptor email address:
Preceptor phone
number: 8326069614
Site phone number: 832-606-
9614 Field Site Clinic hours: 9
am-6 pm
NRNP Clinical Calendar for June
2022.pdf NRNP Clinical Calendar for
*You must have specific dates and times, please provide a calendar with
your dates and times written in the days of the week. We must be able to
verify the exact dates you are in practicum setting. We must be able to
see you will meet your hour requirements including holidays off. Simply
stating every Monday for 8 hours is not acceptable.
This study source was downloaded by 100000852681095 from CourseHero.com on 11-28-2022 00:30:04 GMT -06:00
https://www.coursehero.com/file/169704477/NRNP-6645-PRAC-WK1Assgn1GeorgeNdocx/
