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My nurse practice act in Georgia is vague with regard to supervision/collaboration issues. There is no state where the law requires physicians to sign every one of a nurse practitioner's (NP's) charts. In Tennessee, a physician must sign 20% of an NP's charts every 30 days. In Arkansas, there is a requirement for physician cosignature of NP orders. Practice protocols or facility requirements must specify when NP's orders must be cosigned.
Nurse Practitioners and Nurse Midwives. For the past three years, the Bureau of Health Services has been involved in. discussions with the Drug Enforcement Administration (DEA) regarding the DEAâs. requirement that a mid-level practitioner obtain a DEA registration in order to write.