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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.

Minnesota: Full Practice, outside the Nurse Licensure Compact. Minnesota NPs must first practice at least 2,080 hours under a collaborative agreement with a physician or with an advanced practice registered nurse who has at least three years of practice, and NPs who provide services other than primary care or mental health services must complete those hours in a setting where advanced practice registered nurses and physicians work together. After that, they may practice independently.

Tennessee: Restricted Practice, a Nurse Licensure Compact member. Tennessee requires physician supervision for NPs.

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.