What are the BEST and WORST States to practice as an NP? - page 5

by Roland 169,492 Views | 215 Comments

I am speaking primarily from two perspectives here: 1. The degree to which NP's are accepted, recognized, and utilized in that area/state. 2. The degree to which state law recognizes NP's, and grants them autonomy, and... Read More


  1. 0
    Quote from jwBSN
    This is my first post to the NP forum....I am in the NP program here in MO. now....I have always wanted to travel more....has anyone tried the traveling NP opportunities?
    wondering where in MO you are attending for your NP. I am an ADN RN, and wanting to persue BSN, MSN, NP. Thanks for any info.
  2. 0
    Sure would be nice to find an up to date list of NP priviledges in all states.
  3. 0
    Quote from marilynmom
    What it is like for NP's in Oklahoma?
    I'm sure this answer is a bit late, but it SUCKS for NP's in Oklahoma. PA's totally rule in OK, b/c the PA program at OU is far bigger than the NP program. In fact, that's the only NP program in the entire state. I used to live in OK and I remember an ad for a NP at Baptist in OKC (about 5 years ago), it paid $35,000 a year! I couldn't believe it! I now live in TX and it is the polar opposite here...there are far more NP's than PA's and WE RULE!
  4. 0
    Quote from Kabin
    Sure would be nice to find an up to date list of NP priviledges in all states.
    Try the N.P. journal. They give out a list in every January issue.

    Grannynurse
  5. 1
    "in 12 states and the district of columbia, nps are categorized as having prescriptive authority for controlled substances, "independent of any direct physician involvement".5 in five of these twelve states (montana, new hampshire, utah, washington and wyoming), nps are still required to have indirect physician involvement, such as a joint practice agreement, physician chart review, or a consultation and referral plan."
    http://www.findarticles.com/p/articl...03/ai_n9375726

    i think you may find this link informative.
    “states where nurse practitioners have prescriptive authority,according to the american academy of nurse practitioners,http://www.aanp.org/ , include: alaskawashington (state)oregonmontanaarizonanew mexicowisconsinmainenew hampshiredistrict of columbiathe remaining states require some level of collaboration in order toprescribe.” http://answers.google.com/answers/threadview?id=28831

    and this one is from the “dea”
    http://www.deadiversion.usdoj.gov/drugreg/practioners/

    this is a really good link as well. it breaks it down state by state.
    http://www.medscape.com/viewarticle/440315

    this is a map from the aanp (american academy of nurse practitioners)
    http://www.aanp.org/.../authority+to...5-05+color.pdf

    i hope this helps!!!
    FraidoCat likes this.
  6. 0
    Quote from Cyndee, MSN, NP
    I'm sure this answer is a bit late, but it SUCKS for NP's in Oklahoma. PA's totally rule in OK, b/c the PA program at OU is far bigger than the NP program. In fact, that's the only NP program in the entire state. I used to live in OK and I remember an ad for a NP at Baptist in OKC (about 5 years ago), it paid $35,000 a year! I couldn't believe it! I now live in TX and it is the polar opposite here...there are far more NP's than PA's and WE RULE!
    Wow, thanks so much for that info. I'm working on my BSN right now and my goal is to be a NP but I also want to stay here in Oklahoma (for various reasons, mainly my aging parents) so that is a little dissapointing to hear about NP's here in Oklahoma....in fact, I hardly every see any of them around.

    I will keep PA school in mind then after working as a RN for a few years...

    I really liked the idea though of as a NP working under my own license, I don't like the idea as a PA working under an MD/DO but I also dont want to waste time in NP school if there are not many opportunities here too...

    I have time to decide though, thanks for the response. $35,000 a year is ridiculas for an NP.
  7. 0
    OK, this makes me VERY sad. I am in Illinois. I am originally from Texas. Is this state any better?
  8. 0
    Can anyone steer me toward a link outlining the scope of practice in each state for NPs (independent vs collaborative)? Thanks!
  9. 0
    findurpassion, you can try to link to all the bon:

    list of individual states - state board of nursing
  10. 0
    I currently live in Nevada, but originally am from Michigan. I must say that Nevada seems like a decent place to practice as an NP. They seem to be respected and have a decent pay.
    Michigan is a GREAT place to work as an NP, especially in the northern areas. The northern part of Michigan is considered to be a "rural" area, when in fact its actually a prospering part of the state. NP's have a huge involvement with the communities. Michigan is also a wonderful state to practice as a DO.


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