LifeStance Health

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.

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.

Massachusetts: Full Practice, has enacted but not implemented the Nurse Licensure Compact. Massachusetts grants full practice authority to NPs once they attest to the Board of Registration in Nursing that they have completed at least two years of supervised practice; until then, a qualified healthcare professional, who may be a physician or an experienced NP, supervises their prescribing. NPs applying by reciprocity who have at least two years of NP practice outside Massachusetts, independent or supervised, may instead prescribe without supervision once they attest to that experience.

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.