How do I deal with not being respected as a nurse practitioner?

You fought hard for the right to practice fully, and you earned it. So it stings when the system still treats you as a placeholder, a stand-in until a doctor is free. That gap between what you can do and how you are seen is real, and it is tiring to live in. You cannot force a whole system to change its mind today. But your worth was never handed to you by their labels. It shows in the care you give, patient by patient, whether or not anyone above you names it. Let your standing be built on the ground you can control. Do the work well, keep the record of what you handle, and speak plainly about your role when it matters. Respect that comes slowly through proof is steadier than respect that is granted. Stand on what you know you are.