Addison Kenway.

Colorado: Full Practice, a Nurse Licensure Compact member. Colorado NPs can practice independently and prescribe medications, including controlled substances. NPs new to prescribing first receive provisional prescriptive authority and must complete a 750 hour prescribing mentorship with a physician or an advanced practice registered nurse who has full prescriptive authority within three years to earn full prescriptive authority.

Florida: Restricted Practice, a Nurse Licensure Compact member. Florida requires NPs to practice under a supervisory protocol with a physician. Since 2020, NPs who meet eligibility requirements may register for autonomous practice limited to primary care, including family medicine, general pediatrics, and general internal medicine; the requirements include, within the preceding five years, at least 3,000 supervised hours of clinical practice and graduate-level coursework, or the equivalent, in differential diagnosis and pharmacology.

Massachusetts: Full Practice, has enacted but not implemented the Nurse Licensure Compact. Massachusetts grants full practice authority to NPs once they attest to the Board of Registration in Nursing that they have completed at least two years of supervised practice; until then, a qualified healthcare professional, who may be a physician or an experienced NP, supervises their prescribing. NPs applying by reciprocity who have at least two years of NP practice outside Massachusetts, independent or supervised, may instead prescribe without supervision once they attest to that experience.

New Hampshire: Full Practice, a Nurse Licensure Compact member. New Hampshire NPs can practice independently.

New Jersey: Reduced Practice, a Nurse Licensure Compact member. New Jersey generally requires NPs to have joint protocols with a collaborating physician in order to prescribe or order medications and devices. Under a 2026 law, NPs in a qualifying population focus with more than 5,000 hours of advanced practice who provide primary or behavioral health care, and do not provide general obstetrics or elective aesthetic or cosmetic services, may practice and prescribe without a joint protocol.