Practice authority and prescribing by state
Practice authority, transition-to-practice requirements, prescribing and RN compact status for all 50 states and the District of Columbia.
Informational guidance only. Holding a license does not by itself authorize every service or prescription. Confirm current requirements with the appropriate licensing authority before applying, renewing or practicing. Read the disclaimer
What the colors show: practice and prescribing combined. Each state takes the more limiting of the two, so a state with independent practice can appear as a transition or restricted state because of a prescribing condition. The table lists practice authority, transition and prescribing separately.
- Full practice17
- No ongoing physician relationship for practice or prescribing under state NP law, and no transition period.
- Transition period21
- Independent authority follows a state-defined period of experience, mentorship or approval. In some states it covers prescribing only.
- Restricted13
- An ongoing physician relationship applies to practice, to prescribing, or to both.
Select a state on the map or in the table. Each state’s category is also listed in the table below.
How practice authority, prescribing and transition set each color
A state’s color reflects the most limiting of two dimensions: practice and prescribing. A transition period or physician relationship that applies only to prescribing still sets the color, so the table and state detail list practice authority, transition and prescribing separately.
- Full practice (17)
- Independent pathway (17) An independent pathway is identified. Licensing, prescribing approvals and other conditions still apply.AK AZ DE DC HI ID IA KS MT NH NM ND OR RI UT WA WY
- Transition period (21)
- Practice transition (15) An initial experience, mentorship or designation requirement applies. The state summary distinguishes supervision from mentorship and explains the permitted setting.AR CA CT FL IL ME MD MN NE NJ NY SD VT VA WI
- Prescribing transition (6) A prescribing experience or agreement-removal pathway applies. It may concern only certain drug schedules.CO KY MA NV OK WV
- Restricted (13)
- Prescribing agreement (1) A physician relationship applies to prescribing; drug-specific exceptions may apply.IN
- Physician relationship (11) A physician relationship applies to practice and prescribing.AL GA LA MS MO NC OH PA SC TN TX
- State-specific conditions (1) Practice recognition and prescribing relationships differ. Read the state-specific summary for the drug or activity affected.MI
Categories summarize state law; they are not an eligibility determination for any individual clinician.
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Select a row for the full state detail. Sort by any column.
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| Board | |||||
|---|---|---|---|---|---|
| AlabamaAL | No FPA pathway | Collaborative | NLC member | Alabama Board of Nursing | |
| AlaskaAK | None | Independent | Not in NLC | Alaska Board of Nursing | |
| ArizonaAZ | None | Independent | NLC member | Arizona State Board of Nursing | |
| ArkansasAR | 6,240 hours | Independent after transition | NLC member | Arkansas State Board of Nursing | |
| CaliforniaCA | 4,600 hours per stage | Independent after transition | Not in NLC | California Board of Registered Nursing | |
| ColoradoCO | 750 mentorship hours (prescribing) | Independent after transition | NLC member | Colorado Board of Nursing | |
| ConnecticutCT | 2,000 hours + 3 years | Independent after transition | NLC member | Connecticut Department of Public Health | |
| DelawareDE | None | Independent | NLC member | Delaware Board of Nursing | |
| District of ColumbiaDC | None | Independent | Not in NLC | District of Columbia Board of Nursing | |
| FloridaFL | 3,000 hours, primary care | Delegated; autonomous primary care pathway | NLC member | Florida Board of Nursing | |
| GeorgiaGA | No FPA pathway | Collaborative | NLC member | Georgia Board of Nursing | |
| HawaiiHI | None | Independent | Not in NLC | Hawaii Board of Nursing | |
| IdahoID | None | Independent | NLC member | Idaho Board of Nursing | |
| IllinoisIL | 4,000 hours + 250 education hours | Independent after transition | Not in NLC | Illinois Department of Financial and Professional Regulation | |
| IndianaIN | No FPA pathway | Collaborative | NLC member | Indiana State Board of Nursing | |
| IowaIA | None | Independent | NLC member | Iowa Board of Nursing | |
| KansasKS | None | Independent | NLC member | Kansas State Board of Nursing | |
| KentuckyKY | 4 years prescribing | Collaborative; exemption pathways | NLC member | Kentucky Board of Nursing | |
| LouisianaLA | No FPA pathway | Collaborative | NLC member | Louisiana State Board of Nursing | |
| MaineME | 24 months supervised | Independent after transition | NLC member | Maine State Board of Nursing | |
| MarylandMD | 18-month mentor, first-time NPs | Independent after transition | NLC member | Maryland Board of Nursing | |
| MassachusettsMA | 2 years supervised | Independent after transition | Not in NLC | Massachusetts Board of Registration in Nursing | |
| MichiganMI | No FPA pathway | Independent noncontrolled / delegated controlled | Not in NLC | Michigan Board of Nursing / LARA | |
| MinnesotaMN | 2,080 hours | Independent after transition | Not in NLC | Minnesota Board of Nursing | |
| MississippiMS | No FPA pathway | Collaborative | NLC member | Mississippi Board of Nursing | |
| MissouriMO | No FPA pathway | Collaborative | NLC member | Missouri State Board of Nursing | |
| MontanaMT | None | Independent | NLC member | Montana Board of Nursing | |
| NebraskaNE | 2,000 hours | Independent after transition | NLC member | Nebraska DHHS Licensure Unit | |
| NevadaNV | 2,000 hours or 2 years (Schedule II) | Independent; Schedule II pathway | Not in NLC | Nevada State Board of Nursing | |
| New HampshireNH | None | Independent | NLC member | New Hampshire Board of Nursing | |
| New JerseyNJ | More than 5,000 hours | Independent after qualifying transition | NLC member | New Jersey Board of Nursing | |
| New MexicoNM | None | Independent | NLC member | New Mexico Board of Nursing | |
| New YorkNY | More than 3,600 hours | Independent after transition | Not in NLC | New York State Education Department, Office of the Professions | |
| North CarolinaNC | No FPA pathway | Collaborative | NLC member | North Carolina Board of Nursing | |
| North DakotaND | None | Independent | NLC member | North Dakota Board of Nursing | |
| OhioOH | No FPA pathway | Collaborative | NLC member | Ohio Board of Nursing | |
| OklahomaOK | 6,240 prescribing hours | Independent after transition | NLC member | Oklahoma Board of Nursing | |
| OregonOR | None | Independent | Not in NLC | Oregon State Board of Nursing | |
| PennsylvaniaPA | No FPA pathway | Collaborative | NLC member | Pennsylvania State Board of Nursing | |
| Rhode IslandRI | None | Independent | NLC member | Rhode Island Board of Nurse Registration and Nursing Education | |
| South CarolinaSC | No FPA pathway | Collaborative | NLC member | South Carolina Board of Nursing | |
| South DakotaSD | 1,040 hours | Independent after transition | NLC member | South Dakota Board of Nursing | |
| TennesseeTN | No FPA pathway | Collaborative | NLC member | Tennessee Board of Nursing | |
| TexasTX | No FPA pathway | Collaborative | NLC member | Texas Board of Nursing | |
| UtahUT | None | Independent | NLC member | Utah Division of Professional Licensing | |
| VermontVT | 2,400 hours + 24 months | Independent after transition | NLC member | Vermont Board of Nursing | |
| VirginiaVA | 5,400 hours (3 full-time years) | Independent after transition | NLC member | Virginia Board of Nursing | |
| WashingtonWA | None | Independent | NLC member | Washington State Board of Nursing | |
| West VirginiaWV | 3 years prescribing | Independent after transition | NLC member | West Virginia RN Board | |
| WisconsinWI | 3,840 APRN + 3,840 nursing hours, 24 months | Independent after transition | NLC member | Wisconsin Department of Safety and Professional Services | |
| WyomingWY | None | Independent | NLC member | Wyoming State Board of Nursing |
51 of 51 jurisdictions shownReport a correction
RN compact status is not APRN authority. A qualifying multistate RN license may satisfy the RN prerequisite in another NLC state; NP authority in that state is a separate license or approval.
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