Outpatient - Part-time PMHNP – Minnesota License Required at Iris Telehealth for Providers

First Name *

Last Name

Email *

Phone *

Resume *

Do you have a valid PMHNP-BC in MN? This is a mandatory requirement. *

Post PMHNP post-certification, how many years of prescribing experience do you have? *

What patient ages are you comfortable treating in clinical setting? *

How many hours per week are you available to work for Iris Telehealth? *

Please enter the month and year you obtained your PMHNP-BC (e.g., MM/YYYY): *

Please list the state(s) in which you have an active PMHNP-BC. *

Were you referred to this position? If so, please share who referred you.

Are you currently employed or affiliated with an organization that is utilizing Iris Telehealth services? If so, please share the organizations name.

Application Form