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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.

California: Restricted Practice, outside the Nurse Licensure Compact. California NPs generally practice under standardized procedures developed collaboratively with physicians and furnish drugs and devices under physician supervision. NPs who complete a transition to practice in California of three full-time equivalent years or 4,600 hours can be certified to practice without standardized procedures in a group setting with a physician, and usually after at least three more years in good standing, in an independent setting.

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.

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.

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