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One-third of the nation has adopted full practice authority licensure and practice laws for nurse practitioners. These states are: Alaska, Arizona, Colorado, District of Columbia, Hawaii, Idaho, Iowa, Maine, Montana, Oregon, New. Hampshire, New Mexico, North Dakota, Rhode Island, Vermont, Washington, and Wyoming.
There is an initiative to require the DNP as the entry level degree for all APRN roles, including the nurse practitioner, nurse anesthetist, clinical nurse specialist, and nurse midwife. Those who have a MSN but are currently practicing in an APRN role would be grandfathered into this change.