Note: This policy relates specifically to our website only.
For HIPAA Notice of Privacy Practices, please visit the following pages (English ),(Spanish ).
WE RESPECT YOUR PRIVACY. THIS PRIVACY POLICY DESCRIBES HOW WE COLLECT AND USE YOUR PERSONAL INFORMATION THAT YOU CHOOSE TO SUBMIT VIA OUR PUBLIC WEBSITE. PLEASE READ IT CAREFULLY. PLEASE DO NOT DISCUSS YOUR OWN CARE OR POST ANYTHING YOU CONSIDER PRIVATE ON THIS SITE. IN OUR SOLE DISCRETION AND WITHOUT NOTICE TO YOU, WE MAY REMOVE ANY CONTENT POSTED ON THIS SITE.
The websites and services provided through the website (this “Site”) are provided by Cross Timbers Health Clinics inc. d/b/a AccelHealth (“We,” “Us” or “Our”). You (“You” or “Your”) have a limited rights to access and use the site for your noncommercial, personal use and information only.
What Information Do We NOT Collect?
We do NOT collect personal or health related information unless you create an account on Healow, our on-line portal to your medical records. If you choose to sign up for access to Healow, you will be required to create an account and provide certain personal information. Any personal or health related information you submit through the Healow portal is governed by Our HIPAA Notice of Privacy Practices policy (English ), (Spanish ), not this Website Privacy Policy.
What Information Do We Collect?
Information that you provide to us. For example, you provide information when you:
Fill out forms on the site
Name
Address
Telephone number
Email address
Communicate with us by phone, email or chat
Respond to surveys.
Information about your visit to the site. For example, we may collect:
Information about the network you use to access the Internet, such as the domain and the host information.
Information about computer or mobile device that you are using, including the IP address, browser, and operating system.
Information about which pages on our site you visit.
COOKIES
We use “cookies,” which are small text files stored on your computer/device (and maintained by Your browser), and often include a randomized unique identifier so that our site can ‘recognize’ this cookie again. We primarily use cookies that are considered ‘mandatory’ or ‘technically necessary’ to provide our site and its core functionality to you (e.g., cookies that store your log-in information or remember other settings, so you don’t have to re-enter them each time you return to Our Site), and Google Analytics for audience measurement purposes (as described below). Please note that we do not use or engage other operational service providers or entities to use on our behalf, retargeting cookies (e.g., cookies that track you on our site and across other websites in order to serve you a targeted advertisement) or other cookies that may track your experience on our site in order to build user profiles. Should our use of cookies change in the future, we will update this Privacy Policy without notice to you.
Google Analytics Notice. We also use Google Analytics, which uses cookies, to obtain high-level “audience measurement” data such as the referral web domain, type of operating system/browser used, date and time of visit, and other information relating to activities on Our site to understand its usage better, analyze trends, and optimize the site experience. To help ensure such data within Google Analytics cannot be linked back to an identifiable user, the last octet of all IP Addresses collected have been anonymized, ‘Sharing With Google,’ ‘Remarketing and Advertising,’ and ‘Demographics and Interests’ features have been disabled, and retention of analytics has been set to 14 months. For more information on Google Analytics, including how to opt-out please click here.
We do not use cookies to retrieve information from your computer or device for purposes that are unrelated to our site or your interaction with our site. You may stop or restrict cookies on your computer or purge them from your browser by adjusting your web browser preferences and you should consult the operating instructions that apply to your browser for instructions should you wish to do so and in general to determine how best to configure your browser settings to meet your requirements. Note that if you “turn off,” purge, or disable cookies, although you may still use our site, you may not be able to use all of the features, functions, or services available on our site.
How We Use Information
We use the information you provide, and we collect to:
Operate the site
Provide the services you request.
Administer the site and diagnose problems with our server and networks.
Provide you with information about the site.
Measure the number of visitors to the site and how the site is used in order to make the site as useful as possible to our visitors.
Deliver customized content and advertising to you.
Provide authorities or relevant individuals with information related to the site as required by law; and
Fulfill any other purpose for which you provide information, including but not limited to email newsletters and fundraising appeals.
How Can We Share Information?
We do not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your express consent.
We expect that all collection, use and disclosure of your information will occur in the United States and will be governed by United States law; however, some information may travel over the Internet outside of the United States. Even if some information does travel outside the United States, you agree that the laws of the United States will apply.
Any Other Sharing of Information?
We will not sell or rent your information to anyone, but we may share your basic demographic information (such as your name, IP address, and physical or email address) with others, such as our subsidiaries, contractors, trusted partners and affiliates as necessary to operate our business, and as permitted by law.
If we share data with trusted partners to help us perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries, such third parties are prohibited from using your personal information except to provide these services to us.
We do not share your personal information with third parties for their direct marketing purposes.
What About Aggregated Data? We may aggregate (combine) data about visitors to our Site in a non-identifiable manner and use it for our business purposes unrelated to your use of the Site.
For example, we may aggregate data for product development and improvement activities and disclose such aggregated data to third parties.
No personally identifiable information is available or used in this process.
We may use information you provide to promote the products or services of strategic partners, but will not directly provide your personally identifiable information to these strategic partners for promotional purposes.
What About Governmental and Legal Disclosures?
Except as described above, we do not disclose the identities of visitors or users of the site unless legally required to do so, or unless we believe, in good faith, that sharing is necessary:
to protect your safety or the safety of others,
to protect our rights,
to investigate fraud, or
to respond to a government request.
We will respond to any subpoena received from a government agency (i.e., the Securities and Exchange Commission or law enforcement agencies) without prior notice to you. Unless prohibited by law or by a valid court order, we will attempt to notify you of any subpoena received from any other party (i.e., for civil litigation) which requires us to disclose your identity, and will wait ten (10) days, or a lesser amount of time as required by the deadline in the subpoena, before providing the information requested by the subpoena.
What About Other Information and Websites?
Some content or applications, including advertisements, on the Site are served by third parties, including advertisers, ad networks and servers, content providers and application providers. These third parties may use cookies alone or along with other tracking technologies to collect information about you when you use our Site. The information they collect may be associated with your personal information or they may collect information, including personal information, about your online activities over time and across different websites and other online services. They may use this information to provide you with interest-based (behavioral) advertising or other targeted content.
We do not control these third parties’ tracking technologies or how they may be used. You should review the privacy policies posted on these websites carefully before providing any information. We are not responsible for the privacy policies or the content of any other websites. If you have any questions about an advertisement or other targeted content, you should contact the responsible provider directly.
What About Do Not Track?
Websites and web applications can track your movements on the Internet to better tailor suggestions for you based on your interests. We may track your movement through the site and across third party websites to provide targeted content, and therefore we do not respond to Do Not Track (DNT) signals. However, some people do not want their browsing behavior to be tracked. Your web browser allows you to set the DNT signal on your browser so that third parties (particularly advertisers) know you do not want to be tracked. We also suggest that you read the privacy policies of third-party websites to see if those websites track your browsing. Information gathered using tracking technology will be used and disclosed as described in this Privacy Policy, and the privacy policies of the applicable privacy policies.
What About International Privacy Laws?
If you are visiting our websites from outside the United States, please be aware that you are sending information (including personal data) to the United States, where our servers are located. That information may then be transferred within the United States or back out of the United States to other countries.
All data collected through the site will be stored exclusively in secure hosting facilities provided by us or our service providers. We have data processing agreements in place with our service providers consistent with applicable privacy and data security laws.
AccelHealth is located in, and provide services in, the United States, and is governed by United States law. For visitors from the European Union, countries outside of the EU (such as the United States) may not necessarily have data protection laws as comprehensive or protective as those in your country of residence. The United States has not been issued an adequacy decision finding the data privacy laws to provide an adequate level of protection, and no other basis for transfer exists. Therefore, the collection and transfer of data will occur on one of the following bases, depending on the type of transfer and the surrounding factual situation:
The transfer is necessary for performance of a contract between you and an AccelHealth entity. This will apply when, for example, you are buying a product or signing up for information.
The transfer is necessary for the conclusion or performance of a contract between AccelHealth and another person or entity, that is in your interest. This will apply when, for example, you request a product or further information from a third party through our Site.
The transfer is necessary for the establishment, exercise, or defense of legal claims. This would apply if there developed a dispute between you and AccelHealth.
You explicitly consent to the transfer, having been informed of the possible risks of the transfer. This paragraph explains the possible risks: while we exercise great care to protect personal data, it is possible that we may be required to produce personal data to U.S. legal authorities upon presentation of a subpoena, court order, search warrant, or other legal process. We will evaluate the legal process and resist such legal demands on your behalf unless it is clearly valid based on the legal opinion of our attorneys. The data protection laws in the United States may also provide for other uses of data, including uses for marketing that differ from the use for which the data was originally collected (“secondary uses”); however, except where otherwise compelled by law, our collection, storage, and use of your personal data will at all times continue to be governed by this Privacy Policy.
What About Marketing Use?
You agree that we can store information that you provide to us on a form and use it to assist you in making an appointment, providing other services, or for future marketing and fundraising purposes.
How Secure is the Site?
The Site has security measures in place to protect against the loss, misuse or alteration of information under our control. However, no security is perfect, and no security system can prevent all security breaches. YOU TRANSMIT INFORMATION TO US AT YOUR OWN RISK. YOU ACKNOWLEDGE THAT THE SITE IS NOT HIPAA COMPLIANT. HOWEVER, ALL FORM DATA COLLECTED THROUGH THIS SITE IS NEVER STORED ON THIS SITE, INSTEAD, IMMEDIATELY ENCRYPTED AND STORED ON HIPAA COMPLIANT SERVERS OPERATED BY AN AFFILIATE. YOU SHOULD NOT STORE OR TRANSMIT PROTECTED HEALTH INFORMATION ON THIS SITE. YOU ACKNOWLEDGE AND AGREE THAT THE SITE IS NOT INTENDED TO PROVIDE ANY MEDICAL ADVICE. WE ARE NOT YOUR BUSINESS ASSOCIATE UNDER HIPAA AS A RESULT OF YOUR USE OF THE SITE.
Can We Change this Policy?
We may update the Privacy Policy to reflect company and customer feedback. We encourage you to periodically review the Privacy Policy to remain informed of how we use and protect your information. Our use of information gathered or obtained is subject to the Privacy Policy in effect at the time of such use.
How Can You Contact Us?
We welcome your comments regarding this Privacy Policy. If you believe that we have not adhered to this Privacy Policy, please contact us at:
Cross Timbers Health Clinics inc. d/b/a AccelHealth
Attn: CIO
1100 W. Reynosa Ave.
De Leon, TX. 76444
We will use commercially reasonable efforts to promptly respond to your inquiry, and if necessary, determine and remedy any problem.
What If My Information is Wrong?
You may write to us at the contact address above if you believe information you have submitted to us through the site is incorrect. We may not be able to correct that information, because, for example, we did not save the information in question, or because we do not yet have a process to update the information.
Can I Get a Copy of My Information?
You may write to us at the contact address above to request a copy of the information you have submitted, or we have collected about you through the site. If we are able to collect and provide the information, we will do so. In some cases, we may not be able to collect and provide the information, because of the way the data is used and stored.
She is available to serve patients of all ages at the AccelHealth Clinic located at 2100 Crockett Dr., Brownwood, Texas.
“I have a passion and love for medicine and caring for others,” Tammy continues, “Even after many years of serving in this role, I still get very excited to learn new things.”
Tammy has worked with Brownwood Regional Medical Center (BRMC), BRMC-One Source Clinic, and Heart of Texas Internal Medicine.
In 2002, Tammy received her Master of Science in Nursing with Family Nurse Practitioner specialty from Patty Hanks Shelton school of Nursing (Hardin Simmons University).
Tammy graduated from Texas Tech University Health Sciences Center in 1997 with a BSN and an undergraduate degree in business.
Tammy has 17 years of work experience in both Family and Internal Medicine while serving as a Registered Nurse for 23 years.
Tammy McCullough, FNP
Veronica has trained in motivational interviewing and has experience in group therapy, life skills training, and relapse prevention.
She has been a team leader, building supervisor, and completed numerous training.
She worked 11 and a half years in a therapeutic community in different counseling roles.
After graduating with honors, she started her career with TDJC working as a counselor intern.
Veronica received her Associated in Applied Science in Chemical Dependency Counseling in May of 2011.
Veronica Smith is a Licensed Chemical Dependency Counselor, LCDC.
Veronica Smith, LCDC
Tiffany was born in Morgan Mill, Texas and has lived in DeLeon, Texas for 26 years.
She believes in the importance of lifestyle changes, including diet, exercise, stress management, and medication management, as needed.
Tiffany provides individual care to patients of all ages from birth to end of life. She strives to involve patients in their own treatment plans, believing in empowering people is what helps the individual make the changes necessary for their improved health.
Tiffany received her Bachelor of Science in Nursing from Tarleton State University in 2005. She went on to earn her Master’s in Nursing from the University of Texas at Arlington, graduating as a Nurse Practitioner in 2019.
Tiffany Torres, FNP
Sheila brings 13 years of hospital experience in medical and cardiac surgery.
Sheila is excited to join the medical professional team at AccelHealth and serve the Brown County community.
Sheila holds a National Certification through The American Academy of Nurse Practitioners. As a Nurse Practitioner, Sheila served over 3 years in Washington State and a year in Colorado.
Sheila holds a bachelors degree in Registered Nursing, a Master’s degree in Nursing Administration and Education through Hardin Simmons University in Abilene Texas.
Sheila Spears, FNP is a graduate from Simmons College in Boston MA where she received a Master of Science in Nursing.
Sheila Spears, FNP
We are the only medical health provider in De Leon providing access to a wide array of primary health care services including medical, dental, and behavioral health care for the entire family.
Cross Timbers Health Clinics, now AccelHealth, began providing services to the community in 1967 and was formally chartered in 1986.
AccelHealth has a very rich history in De Leon, Texas and surrounding communities.
Where
Medical services include: Primary Healthcare, Women’s Health, Family Planning, Immunization, Chronic Care, Laboratory Services and Hepatitis C Screening and Treatment.
Along with Family Dental Care, AccelHealth offers Behavioral Health services including treatment for Addictions and Substance Use Disorders.
Our Medical and Behavioral Health clinic locations include De Leon, Brownwood and Stephenville. Dental services are provided at our Stephenville clinic.
During the past 54 years, AccelHealth has made significant progress in expanding access to care in Central Texas, particularly for those most in need.
When
We are an FTCA deemed Federally Qualified Health Center (FQHC).
AccelHealth provides affordable health care for patients of all income levels through a sliding fee scale based on income as compared to Federal poverty guidelines.
Why
HRSA Accreditation
and
Patient-Centered Medical Home RecognitionCommunity Health Centers provide high-quality, accessible, and affordable health care to at least 34 million, and up to 52 million patients. They offer a wide range of services including primary care, chronic disease management, and behavioral health.
Brenda was born in Fort Worth, Texas and grew up in Gorman, Texas. She enjoys traveling with her husband and two children, trying new restaurants, horseback riding, reading, and spending time with friends and family.
Brenda strives to provide compassionate, evidence-based care to all of her patients and is especially passionate about whole body wellness and preventative care.
She is a member of the American Nurses Association, Texas Nurses Association, and Texas Nurse Practitioners Association.
She received her Bachelor of Science in Nursing from Tarleton State University in 2017 then went on to earn her Master’s in Nursing from Angelo State University, graduating as a Nurse Practitioner in 2021.
She is fluent in both English and Spanish.
Brenda Madera is an ANCC board certified Family Nurse Practitioner.
Brenda Madera, FNP
In 2015, he received his Doctor of Medicine from the University of Texas School of Medicine in San Antonio.
Dr. Byrd completed his residency training in Internal Medicine at the University of Texas Health Science Center in San Antonio in 2018.
He has been practicing medicine in Brownwood since 2018 as a hospitalist at Brownwood Regional Medical Center.
Dr. Byrd is board certified in Internal Medicine by the American Board of Internal Medicine.
He graduated in 2010 from the University of Texas at Austin, and spent the following year as a medical research assistant in the Department of Trauma Surgery at the University of Texas Health Science Center in San Antonio.
Dr. Roy Byrd is a native of Brownwood, TX and is a graduate of Brownwood High School.
Roy Byrd, MD
McKenna Caldera earned her Bachelor of Science degree in Nursing from Tarleton State University in 2016 and went on to achieve her Master of Science in Nursing with a Nurse Practitioner degree from Texas Woman’s University.
Her background is in women’s health. An 8-year career as a registered nurse has provided extensive experience in caring for her patients, ensuring they receive the highest quality of care.
“I am very excited and committed to providing exceptional and compassionate care to my patients and their families”. “Growing up in the Stephenville area, I am thrilled to give back to the community that has always been home.”
I am married with two beautiful children. You can be sure to find us outside playing with our animals, riding horses, or vacationing at the beach.
My dedication, combined with my local roots, allows me to connect deeply with my patients and provide personalized and evidence-based care that meets their unique needs.
McKenna Caldera, FNP
With over 12 years of experience in mental health, I am a Board-Certified Psychiatric Mental Health Nurse Practitioner committed to providing compassionate and personalized care.
Prior to becoming a nurse, I worked in crisis intervention, which has given me valuable insight into the importance of early support and intervention.
Since becoming a nurse I have spent most of my time as an LVN and then RN working in hospice and long-term care. My goal is to create a safe, judgment-free space where patients can feel heard, understood, and empowered to take control of their mental health journey.
I believe in a holistic approach to treatment, focusing on both mental and emotional well-being to help my patients achieve meaningful, lasting improvements in their lives.
I am excited to join the team at Accel Health, where I can combine my passion for mental health with a dedicated group of professionals to positively impact and enrich the lives of our community.
Chandra Sikes, PMHNP
Rogina Gosnell, AGACNPRogina graduated from Texas Tech University of Health Sciences Center in 2020 with a degree focus on Adult Gerontology Acute Care Nurse Practitioner.
Her AGACNP scope of practice includes both inpatient and outpatient management of acutely ill adults, as well as management of chronically ill patients.
She is excited to serve as a Provider in her home community of Brown County and utilize her knowledge and skills to provide quality and compassionate care to her patients.
Dr. Childers is a US Navy Reserve Physician, serving since 05/1989.
He is Board Certified in Family Practice by the American Osteopathic Board of Family Physicians.
He has served 20 of those years with the Department of Veterans Affairs in Brownwood, Texas.
Dr. Childers is a Family Medicine Physician and comes to AccelHealth with over 31 years of experience.
Charles Childers, DO
Chief Medical Officer (CMO)
Dr. Madeline Middleton is a Licensed Psychologist (LP) and a Licensed Specialist in School Psychology (LSSP) dedicated to helping children, adolescents, and their families navigate psychological and behavioral challenges.
She earned her Ph.D. in School Psychology from Texas Woman’s University in 2023, where she gained extensive clinical experience in neuropsychological assessment, individual and group therapy, school-based interventions, and parent training for children with autism spectrum disorder and those with disruptive behavior disorders.
Dr. Middleton completed her APA-accredited internship at Cypress-Fairbanks Independent School District, followed by a post-doctoral residency at a private practice in Killeen, Texas, where she focused on comprehensive psychological evaluations for children and adolescents.
Specialties:
• Psychological evaluations for children and adolescents
• Autism Spectrum Disorder and disruptive behavior disorders
• Parent training and support
• School-based mental health services
Madeline Middleton, Ph.D, LSSP
Whitney is passionate about providing quality, compassionate care.
She is board certified by the National Commission of Certification of Physician Assistants and is a member of the Texas Academy of Physician Assistants.
While at Hardin Simmons she attended a medical mission trip in Peru.
She received her Bachelor of Science from Tarleton State University in 2013 and Master of Physician Assistant Studies from Hardin Simmons University in 2019.
Whitney Garland, PA-C, is a west Texas native but has been in the Stephenville area since 2010.
Whitney Garland, MPAS, PAC
Elizabeth is a sensitive and caring provider with exceptional bilingual (English and Spanish) communication skills.
Having more than 11 years of diverse experiences, especially in Nurse Practitioner, Elizabeth is currently affiliated with the Regional Employee Assistant Program in Brownwood Texas, serving as a Nurse Practitioner with Brown County Gastroenterology, and Pediatrics of Brownwood.
In 2009, Elizabeth graduated from Texas Tech as a nurse practitioner. She completed her Bachelor of Science in nursing degree at Texas Tech in 2006. Elizabeth is an Allied Health Member of the American College of Gastroenterology.
Elizabeth has served patients in Central Texas for over 17 Years in the medical field and 7 of those years as a nurse practitioner.
Elizabeth Vallejo, FNP
Michael serves as Board President on the Brownwood ISD Board of Trustees, and on Hardin Simmons University Physician Assistant Program Advisory Board as well as guest lecturing at the HSU PA program and as a clinical preceptor for PA students.
He is board certified by the National Commission of Certification of Physician Assistants and is a member of the Texas Academy of Physician Assistants.
His training and experience also include service as a hospital corpsman and respiratory care practitioner in the U. S. Navy, as well as extensive clinic work in internal medicine, diabetes care and cardiology.
Michael is a graduate of Brooke Army Medical Center Academy of Health Sciences, where he was certified as a Respiratory Care Specialist.
He holds a bachelor’s degree in Physician Assistant Studies and a master’s degree in Physician Assistant Studies.
Michael J. Cloy, PA
She is excited to provide care in her hometown of Brownwood, where she is deeply committed to addressing the behavioral health needs of the community. "I have been given a unique opportunity to make a lasting impact on the well-being of those I serve, and I am passionate about providing high-quality, compassionate care in rural and underserved communities."
She has extensive experience providing both individual and group therapy, specializing in Trauma-Focused Cognitive Behavioral Therapy (TFCBT), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing (MI).
She has a Bachelor’s degree from Texas A&M University and Master of Social Work (MSW) from the University of Texas at Arlington, where she specialized in mental health and substance abuse.
Emma is a Licensed Clinical Social Worker (LCSW) with a deep passion for helping individuals overcome behavioral health challenges.
Emma Hogan, LCSW
Ms. Brown leverages her extensive background to provide individualized and group therapy, collaborating with multidisciplinary teams, and advocating for client well-being. Additionally, Starsha creates a supportive and non-judgmental environment that encourages growth, healing, and self-exploration.
Ms. Brown received a Bachelor of Science in Sociology with a Minor in Psychology and Master of Science in Counseling Psychology from Tarleton State University, Stephenville.
She has extensive experience providing both individual and group therapy, specializing in Trauma-Focused Cognitive Behavioral Therapy (TFCBT), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing (MI).
Starsha comes with expertise in depression, anxiety, and trauma, and employs comprehensive evidence-based therapies, including Cognitive Behavioral Therapy (CBT) and Cognitive Processing Therapy (CPT), empowering clients to actively engage in their healing journey.
Starsha Brown is a Licensed Professional Counselor dedicated to helping individuals navigate life's challenges and achieve personal growth by exploring solutions that work for them.
Starsha Brown, LPC
Misti received her Master’s degree in Clinical Mental Health Counseling through Tarleton State University.
Additionally, Misti provides a compassionate, non-judgmental space for healing and self-discovery.
Misti utilizes evidence-based approaches such as Cognitive Therapy, Solution Focused Therapy, play therapy, and Humanistic Sand-tray Therapy to empower clients dealing with anxiety, depression, relationship, and other issues.
Misti Till is a Licensed Professional Counselor dedicated to helping individuals navigate life’s challenges and achieve personal growth.
Misti Till, LPC
She ensures an integrative approach to mental health, supporting individuals’ emotional and mental health through comprehensive care that improves lives.
Believing that "mental health is essential to overall well-being," Melinda is committed to helping individuals achieve balance, resilience, and recovery.
Her extensive background has shaped her approach to mental health, recognizing the deep interconnection between physical and mental well-being. Passionate about compassionate, patient-centered care, she strives to address the whole person—mind and body.
Melinda is a board-certified PMHNP with a Master's in Nursing from the University of South Alabama, bringing 19 years of experience in critical care nursing and respiratory therapy.
Melinda Rowland, PMHNP-BC
“My approach is rooted in empathy, intuition, and genuine human connections with individuals facing some of life’s hardest challenges. I strive to blend evidence-based care with compassion—helping individuals find strength, healing, and hope.”
The most impactful experience has been providing support to new mothers and families within their homes. This role has given her the opportunity to delve deeper into understanding their individual challenges, including the effects of past traumas, socioeconomic hardships, and the stresses that often come with family life. By recognizing these complex factors, she feels better equipped to offer holistic support, which is crucial for addressing the significant mental health issues that many individuals face.
Tina is a board-certified PMHNP with a master’s in nursing from the University of Texas at Arlington with over 15 years of nursing experience within various settings, including public health and maternal health.