SAMPLE for the demonstration: a fictional certificate, not a real document. In real use this is the scan or PDF the coordinator attaches.

State medical license

Ridgeline Health Partners credential file

Issued toNadia Brooks, APRN, FNP
CredentialState medical license (TN)
NumberTN-LIC-DEMO-4036
Issued byTennessee medical board (demo record)
Valid fromDec 20, 2024
Valid throughDec 20, 2026

Fictional provider and number. Close this tab to return to the Credential Tracker.