Nurse Practitioners: Scope of Practice by State

Where does your state stand on NP practice?

Scope of practice details the activities licensed medical professionals are legally permitted to perform in their practice area. Nurse practitioner scope of practice varies by state, outlining the ability to practice with or without physician oversight or prescribe medication. As a nurse practitioner, it’s essential to understand the state laws and regulations that govern and guide you as you practice.

The map below reflects the latest NP scope of practice by state, provided by the NCSL Scope of Practice Policy. Hover over your state to view policies in two primary areas: practice authority and prescriptive authority. For more detail, click your state or territory.

For more information regarding specific state policy laws not listed here, refer to your state’s Nurse Practice Act. 

  • Physician relationship required.
  • Full independent practice and prescriptive authority.
  • Transition to independent practice and prescribing period required.
  • Full independent practice authority but physician relationship required for prescriptive authority.
  • Full independent practice authority but transition to independent prescribing period.

Practice authority details a nurse practitioner’s ability to practice with or without physician oversight. Prescriptive authority refers to a nurse practitioner’s authority to prescribe medications. Some states require NPs to complete a transition to practice period before practicing or prescribing independently. 

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Federal facts for you.

We are a Federal Supply Schedule Contract holder. 

Federal Supply Schedule (FSS) Contract: 36F79723D0086, Professional and Allied Healthcare Staffing, effective March 15, 2023, through March 14, 2028.

NAICS Codes:
  • 561320: Temporary help services. 
  • 621111: Offices of physicians. 
  • 621112: Offices of physicians, mental health specialists. 
  • 621399: Offices of all other miscellaneous health practitioners. 
  • 621330: Offices of mental health practitioners.

Privileging.

Once you and our client agree to move forward with your assignment, our privileging team will assist you and the client in gathering information required by the healthcare facility to grant clinical privileges.

1

We contact the facility’s Medical Service Office (MSO) for their application and requirements.

2

We will assist you by pre-populating the facility’s application and sending to the MSO.

3

We will assist the MSO by following up on requested items.

4

MSO will grant privileges based on your training and experience, and you will be able to start your assignment.

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Maggie Youmans

Executive Vice President

As Executive Vice President, Maggie Youmans leads specialty divisions, Sales Development, and the Enterprise and VMS teams. With more than 14 years of healthcare staffing leadership experience, she drives sales and recruiting strategy, develops high-performing leaders, and advances initiatives that support growth and customer success.  

A recognized voice in healthcare staffing, Maggie has served as a panelist at the Staffing Industry Analysts Healthcare Staffing Summit and contributed workforce planning insights to Becker’s Hospital Review. Her leadership experience spans specialty, enterprise, and VMS/MSP business lines, giving her a broad perspective on workforce strategy and organizational growth.  

Maggie earned dual BBA degrees in Marketing and Management from the University of Georgia and graduated magna cum laude. Outside of work, Maggie loves traveling, exploring new destinations, restaurants, and experiences with her husband and daughter.  

Connect with Maggie on LinkedIn.