What hurdles can I expect when opening a derm practice as a NP?

Nurses General Nursing

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Brief story is my parents own a beauty care clinic that involves facials, skin etc.. and I am thinking about joining as a NP in the future to increase the scope of practice. I live in the state of California and I know that it is one of the states that NP can't practice autonomously. What kind of hurdles could I expect by doing this? Payment, legalities, etc... From what I read so far you need a supervising doctor for the clinic and he has to review charts and such. As far as payment goes, I would assume it would be a mostly cash based clinic. Would a MD still be needed?

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