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1200 East Davis Street, Suite 113, Mesquite, TX 75149

What is Practitioner?

What Is a Practitioner?

Nursing Practitioners have completed Master’s or Doctorate degree in nursing. They have undergone further training in clinical care, and their skills go beyond those of a Registered Nurse. They have also taken clinical and didactic courses that give them advanced knowledge and clinical competency to provide acute care, primary care, and long-term health care facilities.


Nursing Practitioners undergo clinical outcome evaluations, national certification, periodic peer review, and adhere to a code for ethical practices. These make sure that they can provide their clients with quality care services that are guided by morals highlighted by nursing ethics. NPs also need to maintain their competency as professionals through professional development and self-directed continued learning. They also involve themselves in healthcare forums both in professional and lay settings and research to further healthcare knowledge applied in the clinical practice.

License and Practice Locations

Nursing Practitioners are licensed and allowed to practice in all states and in the District of Columbia, and their practice is guided by the rules and regulations in the state where they are licensed. NPs can offer their services in different medical care settings, including urgent care sites, clinics, emergency rooms, private NP or physician practices, hospitals, schools, colleges, and public health departments. And they can practice in rural, urban, and suburban communities.


NPs provide a wide array of primary, acute, and specialty health care services, which they can provide in collaboration with other medical and non-medical professionals. 

They can offer the following:

  • Counseling
  • Ordering, performing, and interpreting diagnostic tests including X-rays and other lab work
  • Managing patients’ overall well-being
  • Prescribing medications and other treatments
  • Diagnosing and treating acute and chronic conditions, infections, and injuries
  • Educating patients on disease prevention and guiding them in creating positive health and lifestyle choices

NP specialty areas include:

  • Family Health
  • Neonatal Health
  • Pediatric/Child Health
  • Psychiatric/Mental Health
  • Women’s Health
  • Acute Care
  • Adult Health
  • Oncology
  • Gerontology Health

NP sub-specialty areas include:

  • Urology
  • Allergy and Immunology
  • Cardiovascular
  • Dermatology
  • Emergency
  • Neurology
  • Occupational Health
  • Orthopedics
  • Pulmonology and Respiratory
  • Sports Medicine
  • Endocrinology
  • Gastroenterology
  • Hematology and Oncology

Unique Approach

NPs focus on the holistic health and well-being of their clients. With their expertise in disease prevention, health promotion, counseling, and health educations, they can guide their clients in managing their health. They can also guide them in making lifestyle and care decisions that can lessen their out-of-pocket costs and help them live better lives.

Why NPs are Important

To learn more about NPs, visit AANP’s Historical Timeline.

Pioneer Healthcare Clinic is operated by Vishnu Maya Upadhyay, a Certified Family & Women’s health nurse practitioner. Should you desire to see a medical doctor (MD or DO), you should make an appointment at another clinic.

While Vishnu Upadhyay collaborates with Dr. Ali Jafarian (supervising doctor) concerning patients of this practice, medical care is rendered by a nurse practitioner as provided by state and federal regulations.

Pioneer Healthcare Clinic
Vishnu Maya Upadhyay

1200 E Davis St., Suite 113
Mesquite, Texas 75149

Phone: 972-295-9090
Fax: 972-534-0010

Doctor and medical practitioner associated with this practice

Dr. Ali Jafarian DO

Medical Association
Texas Medical Board
Regulatory Agency
Texas Board of Nurse Examiners

Statutory Occupational Title
Women’s Health and Family Nurse Practitioner

Certifying State
State of Texas

Professional Regulations
American Medical Association code of ethics