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Employee NRP Registration Form   

Find the time you would like to attend on the left, and pick a date to attend that class on the right. Please choose only ONE date and time to attend.


Are you a Cornerstone, Wilkes Regional, Travel Nurse,  
NCBH, WFUHS, or Community Physicians Employee?
 Date to Attend  
Last Name
First Name
Middle Initial
Employee ID
Credentials (MD, RN, etc)
Phone Number
Alternate Phone Number
Department Name
E-mail Address
We will notify you of your acceptance into the class through the e-mail address you provided. 

By choosing "YES", I understand that if I receive the 7th Edition NRP Provider Assignment access I agree to attend class or be charged for the cost of the class.


Quick Reference

Life Support Education
Kathy Nelson

Phone 336-716-2005
Fax 336-716-5927

Contact Kathy

Mikell White

Phone 336-716-2800
Fax 336-716-5927

Contact Mikell


3rd Floor South Building

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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