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Nancy Joyner, MS, CNS-BC, APRN, ACHPN - Bio Sketch

Nancy Joyner is an outreach specialist with the Center for Rural Health (CRH) at the University of North Dakota (UND) School of Medicine & Health Sciences in Grand Forks.

Among the projects Nancy is involved in are Project ECHO, and North Dakota Rural Community-Based Palliative Care, as well as affiliations with Honoring Choices North Dakota and Center to Advance Palliative Care. As a palliative care clinical nurse specialist and subject matter expert, Nancy works with rural communities and Critical Access Hospitals regarding palliative care. This includes aspects of identifying community resources, developing palliative care teams, providing awareness and education about palliative care and hospice, advance care planning, identifying patients appropriate for palliative care/screening tools, and other tools to assist non-specialists with providing palliative care.

Nancy has served as a 2020-2021 ambassador for the Serious Illness Action Network at Ariadne Labs, a nurse mentor for the UND College of Nursing & Professional Disciplines' RAIN Program, and as adjunct faculty at Bemidji State University in Bemidji, Minnesota. Along with working with the CRH on palliative care since 2017, she was a clinical nurse specialist in palliative care with Altru Health Services from 1979-2013 and has spoken at numerous events and served on several committees. Since 2007, she has been a Professional Education System, Inc. presenter, and since 2014 she has been involved with Nancy Joyner Consulting. Additionally, she was a UND clinical instructor for a palliative care course elective for undergraduate and graduate nursing students.

Calling Grand Forks home since 1979, Nancy earned a bachelor's degree in biology/pre-med from Bemidji State University. She also earned a bachelor's degree in nursing and a master's degree as a clinical nurse specialist in nursing therapeutics at UND.


Established in 1980, the CRH is one of the nation’s most experienced rural health organizations. It has developed a full complement of programs to assist researchers, educators, policymakers, healthcare providers, and most important, rural residents to address changing rural environments by identifying and researching rural health issues, analyzing health policy, strengthening local capabilities, developing community-based alternatives, and advocating for rural concerns.