Source: BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. The West Virginia median is computed from live postings with disclosed, non-estimated salary on NP Hiring.
Cost-of-living index: 84-16% vs. national average
Living costs in Charleston run about 16% below the national average (100), per NP Hiring's city dataset.
AANP classification: Reduced Practice
West Virginia NPs must have a collaborative agreement with a physician to prescribe unless the Board of Registered Nurses has approved removal of that requirement. An NP may apply for removal after at least three years of practice in a documented collaborative relationship with prescriptive authority. Classification source: AANP State Practice Environment
Posted 3 weeks ago
Last updated: November 13, 2026
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