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Wednesday, July 30, 2025
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  Nurse Influencer of the Year Nomination Form

If you are interested, please fill out the form below:

    Name *

    Credentials

    Email *

    Phone *

    Nominee Type *

    Nominee's Mailing Address *

    Instagram Handle

    Facebook Profile Link

    LinkedIn Profile Link

    Upload Nominee Photo (will be public if selected):

    Tell us why you or the individual you selected should be selected for this award! *