Cost-of-living index: 104+4% vs. national average
Living costs in Reston run about 4% above the national average (100), per NP Hiring's city dataset.
AANP classification: Restricted Practice
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. Classification source: AANP State Practice Environment
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Last updated: October 1, 2026
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