Blackbird Health

Pennsylvania: Reduced Practice, a Nurse Licensure Compact member. Pennsylvania requires a collaborative agreement for NP practice.

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.

Virginia: Restricted Practice, a Nurse Licensure Compact member. Virginia NPs must maintain a practice agreement documenting collaboration and consultation with a patient care team physician. An NP with the equivalent of at least three years of full-time clinical experience can apply for a license designation to practice without a practice agreement.

Maryland: Full Practice, a Nurse Licensure Compact member. Maryland grants full practice authority to NPs. Applicants who have never been certified as NPs by any board of nursing must name a mentor on their application, a physician or NP licensed in Maryland with at least three years of clinical practice experience, who is available for consultation and collaboration for 18 months starting on the date the Maryland Board of Nursing receives the application.