MarylandNurse Practitioner License Requirements

Prerequisite

Active RN license; BSN preferred or required by most programs

Specialty Tracks

Nurse practitioners must earn a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) degree from a CCNE or ACEN accredited program. Programs typically include 500-1,000+ supervised clinical hours and prepare NPs for national certification in their chosen specialty.

Most states require nurse practitioners to hold national board certification from the AANP (American Association of Nurse Practitioners) or ANCC (American Nurses Credentialing Center). Certification exams are specialty-specific and must align with the NP's graduate education.

Supervision Details

NPs practice independently in Maryland with full practice authority

Practice authority levels vary by state: Full Practice Authority (FPA) allows NPs to evaluate, diagnose, and prescribe independently. Reduced Practice Authority requires a collaborative agreement. Restricted Practice Authority requires physician supervision. Some states offer a transition period before granting full independence.

State Controlled Substance Registration

Maryland requires state controlled substance registration; NP must indicate type of drugs to be prescribed

Prescriptive authority varies by state and practice authority level. Full Practice Authority states generally allow NPs to prescribe independently, including controlled substances. Reduced and restricted states may require collaborative agreements or physician oversight for prescribing. DEA registration is required for controlled substance prescribing.

Pharmacology CE Requirement

15 pharmacology CE within 30 total

Practice Hour Requirements

1,000 hours of active practice in past 5 years required; if not met, must complete Board-approved refresher course

Regulatory Board

NP licenses must be renewed on schedule with the state board of nursing. Most states require continuing education hours, often with specific pharmacology CE requirements. Many states also require proof of active practice hours and maintenance of national board certification.

Reciprocity Requirements

• •Active NP/APRN license in good standing in another state
• •Graduation from CCNE or ACEN-accredited MSN or DNP program
• •Current national board certification (ANCC, AANP, PNCB, or NCC)
• •Active RN license in Maryland or multistate NLC license
• •Proof of 1,000 hours of active practice in past 5 years
• •Pass criminal background check
• •Submit endorsement application to the Maryland Board of Nursing

The APRN Compact allows nurse practitioners to practice across state lines in member states. For non-compact states, NPs must apply for licensure by endorsement, which typically requires national certification, verification of credentials, and meeting state-specific requirements including practice authority regulations.