Integrated Dermatology

Illinois: Reduced Practice, outside the Nurse Licensure Compact. Illinois requires NPs to have a written collaborative agreement until they obtain full practice authority, except when they practice under clinical privileges in a hospital, hospital affiliate or ambulatory surgical treatment center. Full practice authority requires a notarized attestation of at least 4,000 hours of clinical experience after first attaining national certification and at least 250 hours of continuing education or training.

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

Washington: Full Practice, a Nurse Licensure Compact member. Washington grants full practice authority to NPs.

Connecticut: Full Practice, a Nurse Licensure Compact member. Connecticut requires NPs to practice in collaboration with a physician for at least three years and 2,000 hours before practicing independently. After meeting that requirement, an NP must give written notice to the Department of Public Health before practicing without a collaborative agreement.

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.