State Practice Environment

States Categorized by Type

Nurse practice laws and regulations are specific to each state. AANP’s interactive map below provides licensure and regulatory requirements, as well as practice environment details, for all 50 states and the U.S. Territories. Simply click on each state for details.  

 

Download Printable State Regulatory Map


greenbulletFull Practice: State practice and licensure law provides for all nurse practitioners to evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments—including prescribe medications—under the exclusive licensure authority of the state board of nursing. This is the model recommended by the Institute of Medicine and National Council of State Boards of Nursing. 
yellowbulletReduced Practice
: State practice and licensure law reduces the ability of nurse practitioners to engage in at least one element of NP practice. State law requires a regulated collaborative agreement with an outside health discipline in order for the NP to provide patient care or limits the setting or scope of one or more elements of NP practice. 
redbulletRestricted Practice: State practice and licensure law restricts the ability of a nurse practitioner to engage in at least one element of NP practice. State requires supervision, delegation, or team-management by an outside health discipline in order for the NP to provide patient care.

Go back to All States in Alphabetical Order

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Alaska

Arizona

Colorado

Connecticut

District of Columbia

Hawaii

Idaho

Iowa

Maine

Maryland

Minnesota

Montana

Nebraska

Nevada

New Hampshire

New Mexico

North Dakota

Oregon

Rhode Island

Vermont

Washington

Wyoming

Alabama

Arkansas

Delaware

Illinois

Indiana

  • Regulatory Structure: Reduced Practice
  • Regulatory Agency: Board of Nursing
  • Licensure Requirements: RN license and graduate degree or RN license and completion of NP certificate program along with national certification.
  • Nurse Practice Act
  • NP Organization Members
  • State Policy Fact Sheet (members only, please log in)

Kansas

Kentucky

Louisiana

Mississippi

New Jersey

New York

Ohio

Pennsylvania

South Dakota

Utah

West Virginia

Wisconsin

California

Florida

Georgia

Massachusetts

Michigan

Missouri

North Carolina

Oklahoma

South Carolina

Tennessee

Texas

Virginia

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