Dr.
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Oh, interesting. It seems my information on that is out-of-date a bit. I think I was thinking of the WW2 practices before nursing involved a university degree. It seems to be tied to whether they have a university degree or not. RNs (who hold bachelors' degrees) are commissioned officers and it seems the old RPNs (who have/had associate degrees) are disqualified basically.
I did a quick Google check to be sure. But I admit that my first source of info was… M*A*S*H reruns.
On that show, most of the nurses seemed to be lieutenants. And of course, Margaret Houlihan was a major. However, I’m not sure that a bachelor of nursing degree existed back in the Korean War… 
) Also, I noticed that Lieutenant Kirk has only one (thick) cuff stripe. This (finally!) is consistent with prior Treks and the Memory Alpha articles. But it’s internally inconsistent with SNW. I.e., Spock, Noonien-Singh and Ortegas (also lieutenants) wear two (thick + thin) cuff stripes. Now, possibly, Kirk is a lieutenant junior grade. But it seems odd to have a rank/insignia for a lowly Lt. JG and yet no rank (that we’ve seen) for a full commander.



