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New England Journal of Medicine, 373(15), 1437-1444

Full practice authority (FPA) In full practice authority states, nurse practitioners can practice to the full extent of their education and national certification with no requirement for physician oversight, supervision, or a collaborative agreement of any kind

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Billings calculated that basal-bolus insulin therapy can require up to 1,460 injections per year four injections per day times 365 days a year