The Gastroenterology Nurse Practitioner (GI NP), through education and advanced clinical preparation, has developed competency in three spheres of influence: the patient/client sphere, the nurse/nursing practice sphere, and the organization/system sphere. The GI NP also possesses specialty competencies that may include specific settings or patient populations. Advanced Practice Nurse (Nurse Practitioner) Basic Requirements English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentativ