Source: BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. The Arkansas median is computed from live postings with disclosed, non-estimated salary on NP Hiring.
Cost-of-living index: 87-13% vs. national average
Living costs in Fort Smith run about 13% below the national average (100), per NP Hiring's city dataset.
AANP classification: Reduced Practice
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. Classification source: AANP State Practice Environment
Posted 5 days ago
Last updated: November 13, 2026
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