Ennoble Care

Oklahoma: Restricted Practice, a Nurse Licensure Compact member. Oklahoma NPs who prescribe must have a written supervision agreement with a supervising physician until the Board of Nursing grants them independent prescriptive authority. NPs who have completed 6,240 clinical practice hours with prescriptive authority supervised by a physician may apply for that independent authority.

Arkansas: Reduced Practice, a Nurse Licensure Compact member. Arkansas NPs need a collaborative practice agreement, typically with a physician, to prescribe unless they hold a certificate of full independent practice authority. An NP can apply for that certificate after 6,240 hours of practice under an agreement with a physician or with prescriptive authority in another jurisdiction.

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.

Ohio: Reduced Practice, a Nurse Licensure Compact member. Ohio NPs must have a standard care arrangement with a collaborating physician.

Alabama: Reduced Practice, a Nurse Licensure Compact member. Alabama requires NPs to practice under a collaborative practice agreement with a physician. For NPs with less than two years (4,000 hours) of collaborative practice experience since initial certification or in the collaborating physician's specialty, the collaborating physician or an approved covering physician must be present for at least 10 percent of scheduled hours, although certain settings and limited protocols are exempt.