I am often asked the Best State for Nurse Practitioner Practice? The best state to own your own practice/business? Let me start off by saying that you can have your own practice in any state by following what ever rules and regulations (scope of practice) are in place.
In addition to looking at practice acts for each state, you’ll want to look at the rules and regulations for business for that state. Can you own a practice outright? Do you have to own the practice with a physician? Who else can own a practice with you? What other potential barriers are there to owning a practice or any other business in your state?
Obviously the first place to start is going to be with your own state’s board of nursing to learn about your own practice act. Make sure you check at least annually, as SOP is constantly being update. What if you are looking for other states? My go to reference is the Pearson Report, which is updated annually and an excellent business resource.
That said, according to my list and information I have from NPs around the country, states without any sort of collaboration are included in the image below. Those with an asterisk are those with independence after meeting a requirement. This slide is from a presentation I did last year, which will be updated to reflect changes that took place in 2011.
When you are looking for a place to practice, considerations including SOP and business climate are certainly important. However, look at all the factors that are important to you and your family and make the choice from there. You’ll be much happier if your business fits into your lifestyle and reflects what is important to you as a clinician. After all, it is your practice.
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