NP practice authority by state

Twenty-six states and Washington, D.C., grant nurse practitioners full practice authority as soon as they earn their licenses, according to the American Association of Nurse Practitioners.

Kansas became the most recent state to allow NPs to practice independently April 15.

Another 13 states reduce the ability of NPs to perform at least one practice element independently and require they have a career-long regulated collaboration with another healthcare provider. 

The remaining 11 states restrict NPs' ability to perform at least one practice element independently and require career-long supervision by another healthcare provider.

Full practice authority

Alaska
Arizona
Colorado
Connecticut
Delaware
Hawaii
Idaho
Iowa
Kansas
Maine
Maryland
Massachusetts
Minnesota
Montana
Nebraska 
Nevada
New Hampshire
New Mexico
New York
North Dakota
Oregon
Rhode Island
South Dakota 
Vermont
Washington
Washington, D.C.
Wyoming

Reduced practice authority

Alabama
Arkansas
Illinois
Indiana
Kentucky
Louisiana
Mississippi
New Jersey
Ohio
Pennsylvania
Utah
West Virginia
Wisconsin

Restricted practice authority 

California
Florida 
Georgia
Michigan
Missouri
North Carolina
Oklahoma
South Carolina
Tennessee
Texas
Virginia

To learn more, click here.

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