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In 26 years as a Navy nurse practitioner, Jacksonville’s Brad Briscoe functioned as an independent health care provider. He and other Navy nurse practitioners, who have more education and training than registered nurses, provided health care for the military at home, aboard ships and deployed during wartime. But when he retired from the military and began his civilian medical career with UF Health in 2011, he ran into the wall of Florida’s restrictions on nurse practitioner authority. So Briscoe personally supports legislation that would allow nurse practitioners — technically known as advanced registered nurse practitioners — to provide care without a doctor’s supervision and prescribe controlled substances, among other things. Making that change, he said, could help ease physician shortages, reduce costs and increase access to health care, which will be critical as baby boomers retire and new patients come into the system through the national health-care marketplace.
A majority of members of the Florida House Select Committee on Health Care Workforce Innovation agreed.
How the bill will fare in the full House and Senate remains to be seen because it has some powerful opponents, including Senate President Don Gaetz, R-Niceville. In hearings last fall and early this year, individual physicians and their lobbying groups told the committee that the bill could discourage primary care physicians from locating in the state and discourage Floridians from going into the field. Also, the quality of Florida’s health care could suffer because of the differences in education and training between doctors and nurse practitioners, said physician Linda W.
None of the hundreds of studies that have been done on the topic “showed that care was better in states with more restrictions” of nurse practitioner authority, said Catherine Dower, health policy and law director of the Center for Health Professions, University of California San Francisco, who addressed the committee.
Patient safety and quality of care have not suffered in states that loosened the restrictions. She knows there is concern that nurse practitioners with expanded authority will compete with physicians and may lessen the quality of care.
Nurse practitioners “with full privileges in many settings — medical homes, extended-care facilities, home health care, behavioral health management — will only serve to provide high-quality, cost-effective care for many people who cannot access care now and will extend the reach of physician providers further,” she said. Florida, he said, is the only state in the country that does not allow nurses to prescribe controlled substances. The two Northeast Florida members of the committee also supported the bill but said they want to study the issues more as the bill winds its way through the Legislature. Mia Jones, D-Jacksonville, also supports the bill but said she wanted “to address a few more things” in it before final passage. Beth, will a Florida pharmacy refill my prescription written by a nurse practioner in North Carolina? As usual John Thrasher's Florida Medical Association wants Florida to remain in the last century. The experience in other states has proven the quality and safety of nurse practitioners practicing independently.
Florida will continue to suffer a shortage of primary care providers unless the legislature stops playing politics with the health of Florida residents and starts following the evidence.
Kimberly Adamson is a board certified Pediatric Nurse Practitioner who received her bachelors in Nursing from Northeastern University in 1999. Karen Balestrieri is a board certified Pediatric Nurse Practitioner who joined Pediatrics West in 2001. Joshua Farber-Sault NP is a board certified Family Nurse Practitioner with over 10 years of experience in Pediatrics.
Melissa Forchielli Demars is a board certified Pediatric Nurse Practitioner, certified by the American Nurses Credentialing Center.
Jessica Hennessey is a bilingual, Spanish speaking board certified Pediatric Nurse Practitioner. Patricia Jackson is a board certified Pediatric Nurse Practitioner who has been treating patients at Pediatrics West since 2000.
Susan Kelleher is a board certified Pediatric Nurse Practitioner who has been seeing patients at Pediatrics West since 1989. Jayne Laurin Kinney is a board certified Pediatric Nurse Practitioner and has been with Pediatrics West since 1988. They served as directors for medical or nursing services and as commanding officers in military medical treatment facilities and directed medical and nursing operations throughout the Department of Defense, Briscoe said. But she said the actual experience in states where advanced practice registered nurses practice to the full extent of their license is just the opposite. Travis Cummings, R-Orange Park, said emergency rooms are certainly not the solution to increase health-care access.
In one study I read a few years ago they malpractice experience of independent nurse practitioners in a Western state was compared to that of primary care physicians seeing a similar population. Many those taking loans and scholarships where they have agreed to become primary care physicians default on that promise and enter other specialties.
She then went on to work at Children’s Hospital in Boston on the solid organ transplant unit as a staff nurse. After graduating from Assumption College, she earned her Masters of Science in Nursing from the Institute of Health Professionals at Massachusetts General Hospital. She received her BSN from Boston College and completed her Masters degree at Northeastern University in Boston.
A graduate of Wheaton College, she earned her Masters of Science in Nursing from the Institute of Health Professionals at Massachusetts General Hospital.


Tricia graduated from Regis College in Weston, Massachusetts with her Masters Degree in Nursing and has also received a Certificate of Advanced Graduate Studies from Northeastern University School of Nursing. She received her Bachelor’s degree in Education from Smith College in Northampton, MA, and taught 7th and 8th grade science locally for 4 years before pursing her BSN and MSN at MGH Institute of Health Professions. She received her Master of Science Degree in Nursing from the University of Maryland as a member of Sigma Theta Tau International Society of Nursing while she worked at Johns Hopkins Hospital in the Harriett Lane clinic and Pediatric Emergency Room.
She earned her Doctor of Nursing Practice degree (DNP) at the University of Massachusetts where she received the Outstanding DNP Student Award.
She grew up locally in Sudbury, Massachusetts and worked at Westwood Mansfield Pediatrics before joining Pediatrics West in December 2015.
She received her BSN from the University of Massachusetts and completed her Masters degrees at Regis College. She earned a Master of Physician Assistant Studies degree from Massachusetts College of Pharmacy and Health Sciences in 2008. We try to provide great medical care to children and their families in a warm and friendly atmosphere.
She is a certified registered nurse anesthetist and a second-year anesthesiology resident at the University of Florida College of Medicine at Jacksonville.
The nurse practitioners had a malpractice claims rate that was a fraction of that the physician community. In 2002, Kimberly went back to graduate school for her Pediatric Nurse Practitioner degree at Northeastern University. Karen’s clinical interests include asthma management, health promotion across the pediatric lifespan, and emergency medicine.
She is a member of the Honor Society of Nursing Sigma Theta Tau International, Upsilon Lambda Chapter as well as the National Association of Pediatric Nurse Practitioners. Her clinical interests include preterm and term infant health, preschool and school age children, asthma management, and parenting challenges with toddler through kindergarten aged children.
Prior to joining Pediatrics West, he worked as a Nurse Practitioner in primary care with a focus on the adolescent and young adult populations.
Jessica is a Nurse Practitioner Fellow in Adolescent Health at Boston’s Children’s Hospital and is also a member of the Emerson Hospital staff.
Although she only works part-time for Pediatrics West, Tricia enjoys seeing infants, children and adolescents for well-child and sick-child visits. As a former teacher of adolescents and a current high school athletics coach, Sue’s clinical interests include adolescent health and gynecology, sports medicine, suturing, physical activity and nutrition. Jayne is a member of Sigma Theta Tau International Honor Society of Nursing and the Massachusetts Coalition of Nurse Practitioners.
Dana holds a Bachelor of Science degree in Symbolic Systems from Stanford University and a Master of Science degree in Nursing with a concentration in Pediatrics from the MGH Institute of Health Professions. Currently we have four convenient locations to serve you:Rainbow Pediatrics of Fayetteville 1327 Robeson St. Florida's legislature on the other hand ignores evidence and chooses to play politics with the health of Florida's citizens. As long as we keep electing the same kind of people to our legislature nothing will change.
Kimberly had a graduate assistantship in the Bouve College of Health Sciences as a teacher’s assistant in the nursing lab. Her clinical interests include adolescent medicine, adoption medicine, well child care, and dermatology. His clinical experience also includes working as a nurse in the Emergency Department at Boston Children’s Hospital. Melissa also served as adjunct faculty at Boston College School of Nursing and MGH Institute of Health Professions, where she was an inpatient clinical instructor for undergraduate and graduate nursing students.
Her clinical interests include eating disorders, gynecological care for adolescents, and mental health. Her clinical interests includes providing care to well and ill children, newborns through adolescents, and college health.
Her clinical interests include newborn care, concussion management and general well and ill child care. Previous to joining Pediatrics West, Jessica worked as a Physician Assistant in General Pediatrics and Pediatric Emergency Medicine.
Fayetteville, NC 28305 910-486-5437 Rainbow Pediatrics of Raeford 142 Paraclete Drive Raeford, NC 28376 910-904-0404Rainbow Pediatrics of Hope Mills 4469 S. Florida will continue to fall behind other states and the status quo for the medical community will remain the same. She is a devoted medical volunteer with Operation Smile, an organization which serves children with facial deformities and has travelled internationally on several medical missions.
With over 20 years of primary care clinical experience, Jayne’s interests include adolescent health, asthma management, professional development, and health care quality improvement. Her clinical interests include providing care to well and ill children, infancy through adolescence. Although she enjoys all aspects of pediatric medicine, she is particularly interested in newborn care, infectious diseases and office-based procedures.


The citizen member was in fact a health care consultant who had a vested interest in doing what the physician lobby wanted.
Kim is also a member of both Sigma Theta Tau International and the National Association of Pediatric Nurse Practitioners. Karen also serves as the nurse practitioner for the Groton-Dunstable school system in collaboration with Dr.
Kim’s clinical interests include Congenital Heart Defects, pediatric obesity and lactation. Their lobbyist approached the committee and told them she didn't know much about the issue but that the FMA was opposed to it. Esensoy is a board certified pediatrician and has been an active member of Fayetteville Healthcare Community since 1996.Before starting his private practice on March 2005, Dr.
Esensoy completed his pediatric medicine training at The State University of New York Health Science Center at Brooklyn, New York. Prior to obtaining his specialty degree, he worked as a research coordinator at New York Medical College for two years in Neuroscience.Dr.
Esensoy is a Fellow of American Academy of Pediatrics and member of American Medical Association, North Carolina Medical Society and Cumberland County Medical Society. Along with his board certification in General Pediatrics, he is also a diplomat of American Association of Hospital Physicians as well as American Association of Ethical Physicians. Esensoy enjoys all aspects of Pediatric Care with a special interest in Pediatric Infectious Diseases. Agaram is a board certified pediatrician, who has completed her pediatric training at The Brooklyn Hospital Center, Brooklyn, NY.  She obtained her medical degree from India. Agaram is an experienced Pediatrician having practiced in New Jersey for 4 years before moving to North Carolina.
Agaram is a Fellow of American Academy of Pediatrics, and a member of North Carolina Medical Society. Eduardo Garrido Goico, MDDr. Eduardo Garrido is originally from the Dominican Republic where he completed medical School at Universidad Iberoamericana (UNIBE). He completed his residency in Pediatrics at Lincoln Medical and  Mental Health Center affiliated with Weill Cornell Medical College in New York. Garrido is an active member of the American Academy of Pediatrics and the North Carolina Medical Society and speaks fluent Spanish.
In his free time he enjoys an active lifestyle and spending time with his family.Ashley Call, MDDr. She graduated from the University of Utah School of Medicine where she was a member of the AOA Honor Medical Society. She completed her residency in pediatrics with the University of Utah at Primary Children’s Medical Center.
Call is a fellow of the American Academy of Pediatrics and is a member of the North Carolina Medical Society.
In her free time she enjoys being with her family.Esther Nissao, MD Dr Nissao was born in West Africa but grew up mostly in Cary, North Carolina. She graduated from Guilford College with a Bachelors degree in Biology and Health Sciences.
She received her medical doctorate from the Brody School of Medicine at East Carolina University.
She completed her pediatric residency at the Children’s Hospital of Georgia with Georgia Regents University (formerly Medical College of Georgia). She enjoys traveling, spending time with family and being involved in her church.Jocelyn Mason, MD Dr.
She earned her bachelor’s degree with honors and Phi Beta Kappa in physiology and neurobiology from the University of Maryland. She went on to receive her medical degree at Harvard Medical School in Boston, Massachusetts.
She completed a residency in pediatrics at Vidant Medical Center in Greenville, NC, and was selected to remain at East Carolina University for an additional year as chief resident and clinical faculty. Mason is interested in all aspects of pediatric medicine, and enjoys taking care of newborns through adolescents. She is a fellow of the American Academy of Pediatrics and member of the North Carolina Pediatric Society.Cinthia Fletcher Follrod, CPNP Cinthia Follrod is a Certified Pediatric Nurse Practitioner, and has been providing Pediatric care since 1990.
Follrod was a nurse practitioner at Cape Fear Valley Medical Center for their Inpatient Pediatric Service, and she also practiced as a Nurse Practitioner at Hope Mills Pediatrics.Mrs. Follrod is a member of Sigma Theta Tau International Honor Society for Nurses, the American Nurses Association, and the National Association of Pediatric Nurse Practitioners. Parker completed her residency at Brenner Children’s Hospital of Wake Forest University and Cape Fear Valley Health Systems. Donna is currently a member of the National Association of Neonatal Nurse Practiioners and will pursue her post master’s certificate as a Pediatric Nurse Practitioner in the Fall of 2016.




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