VA Puget Sound Healthcare System (VAPSHCS) is a Level 1a major interdisciplinary teaching healthcare system with two divisions and multiple community-based outpatient clinics (CBOC). It is considered the most complex VA healthcare system nationwide. VAPSHCS has Emergency services and a full complement of specialty medical, surgical, psychiatric, critical care, and rehabilitation service-lines. VAPSHCS houses two Community Living Centers. 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