Greenlife Healthcare Staffing

New York: Full Practice, outside the Nurse Licensure Compact. NPs in New York with 3,600 hours of practice or fewer must practice in collaboration with a physician under a written practice agreement and written practice protocols. NPs with more than 3,600 hours of practice are currently exempt from those requirements.

Kentucky: Reduced Practice, a Nurse Licensure Compact member. Kentucky NPs need a collaborative agreement with a physician to prescribe, with separate agreements for nonscheduled legend drugs and for controlled substances. Once NPs have four years of prescribing experience, which can include prescribing in another state, they may prescribe without these agreements, though dropping the controlled substance agreement first requires a Board of Nursing good standing review.

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.

South Dakota: Full Practice, a Nurse Licensure Compact member. South Dakota NPs need a written collaborative agreement with a physician, certified nurse practitioner or certified nurse midwife licensed in South Dakota until they have completed 1,040 hours of licensed practice. After that, they can practice without a collaborative agreement.

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.