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Virginia: Restricted Practice, a Nurse Licensure Compact member. Virginia NPs must maintain a practice agreement documenting collaboration and consultation with a patient care team physician. An NP with the equivalent of at least three years of full-time clinical experience can apply for a license designation to practice without a practice agreement.

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.

North Dakota: Full Practice, a Nurse Licensure Compact member. North Dakota NPs have independent practice authority.

South Carolina: Restricted Practice, a Nurse Licensure Compact member. South Carolina NPs must perform medical acts under a practice agreement with a physician, who must be readily available for consultation.