Nurse Licensure Requirements by State

The journey to becoming a nurse is one marked by dedication, rigorous study, and a profound commitment to patient care. At the heart of this journey is the process of obtaining a nursing license—a critical step that ensures each nurse meets the high standards expected in healthcare. Nurse licensure requirements by state vary, making it crucial for prospective nursing students to understand the specific prerequisites and procedures of the state where they wish to practice.

Importance of Nursing Licensure

Nursing licensure serves as a cornerstone of the healthcare system, ensuring that all practicing nurses possess the necessary knowledge, skills, and ethical grounding to provide safe, effective patient care. It is a legal requirement for anyone wishing to practice as a nurse, underscoring its role in protecting public health and maintaining trust in the nursing profession.

Licensure is more than just a formality; it is a rigorous process that evaluates a candidate’s competence through education, experience, and examination. This process is vital for several reasons:

Public Safety: By adhering to standardized licensure requirements, the healthcare system ensures that all nurses have met predetermined competency levels, thus safeguarding patient safety and improving the quality of care.
Professional Standards: Licensure promotes a uniform standard of education and practice, encouraging continual learning and professional development among nurses.
Mobility and Employment: A nursing license is often a prerequisite for employment in healthcare settings. Additionally, the Nurse Licensure Compact (NLC) allows for greater mobility for nurses across state lines, enhancing the ability to respond to regional healthcare needs and emergencies.

Each state in the U.S. has its own nursing board responsible for setting and enforcing licensure requirements. This decentralized approach ensures that standards remain relevant to the specific healthcare needs and legal frameworks of each state. However, it also means that nurse licensure requirements by state can vary significantly, making it essential for prospective nurses to familiarize themselves with the requirements of the state where they wish to practice.

State-by-State Guide to Nursing Licensure Requirements

Navigating the licensure requirements for nurses can be complex, with each state in the U.S. setting its own specific criteria.

Understanding State-Specific Nursing Licensure Requirements

Navigating the landscape of nursing licensure in the United States can be complex, given that each state has its unique requirements and guidelines. The information provided in our state-by-state guide is designed to offer a foundational understanding of what prospective nurses can expect when seeking licensure across different jurisdictions. However, it’s crucial to recognize the dynamic nature of these requirements:

Changing Guidelines: State boards of nursing are the definitive sources for licensure requirements, including education, examination, and practice standards. Because these guidelines can evolve, reflecting changes in healthcare practices, legal frameworks, or state policies, we strongly recommend visiting each state’s board of nursing website directly. This ensures that you are accessing the most current and accurate information available.
Nurse Licensure Compact (NLC): The NLC allows for nurses to have one multistate license, with the privilege to practice in their home state and other NLC states. Legislation surrounding the NLC is subject to change, which could alter a state’s participation status. To stay informed about the latest developments and understand how they might affect your licensure, visiting the NLC website is advisable. This is especially pertinent for nurses who plan to practice in multiple states or are considering relocation.
NCLEX Candidates and Pass Rates: The number of candidates taking the National Council Licensure Examination (NCLEX) and their pass rates are indicators of the nursing education landscape within each state. These figures, reflecting 2022 data reported by the National Council of State Boards of Nursing , give context to the educational outcomes and readiness of nursing graduates for professional practice. While informative, it’s important to note that these numbers represent a snapshot in time, specifically the most recent complete data available as of 2024. They serve to complement your understanding of state-specific licensure but should not be the sole factor in decision-making.

While this guide aims to streamline your research into nursing licensure, the importance of consulting official sources cannot be overstated. State boards of nursing websites and the NLC’s official site are essential resources for ensuring your information is up-to-date, allowing you to make well-informed decisions regarding your nursing career.

Alabama (AL)

In Alabama, the Board of Nursing outlines specific licensure requirements that include completing an approved nursing education program and passing the NCLEX. Alabama is also a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more detailed information on Alabama’s nursing licensure requirements, continuing education requirements, and application process, visit the Alabama Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,867
Passed (RN-Baccalaureate, 2022): 1,620
Pass Rate (RN-Baccalaureate, 2022): 87%

Alaska (AK)

In Alaska, the Board of Nursing oversees the licensure requirements for nurses, which include the completion of an accredited nursing education program and passing the NCLEX. Unlike Alabama, Alaska has not enacted the Nurse Licensure Compact (NLC), meaning nurses licensed in Alaska who wish to practice in other states must apply for licensure by endorsement in those states. For more detailed information on Alaska’s nursing licensure requirements, continuing education requirements, and application process, visit the Alaska Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 66
Passed (RN-Baccalaureate, 2022): 59
Pass Rate (RN-Baccalaureate, 2022): 89%

Arizona (AZ)

In Arizona, the Board of Nursing sets forth licensure requirements that mandate the completion of an approved nursing education program and passing the NCLEX. Arizona is a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more detailed information on Arizona’s nursing licensure requirements, continuing education requirements, and application process, visit the Arizona State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 2,482
Passed (RN-Baccalaureate, 2022): 2,094
Pass Rate (RN-Baccalaureate, 2022): 84%

Arkansas (AR)

In Arkansas, the Board of Nursing is responsible for overseeing the licensure process for nurses, which includes completing an accredited nursing program and passing the NCLEX. Arkansas also participates in the Nurse Licensure Compact (NLC), which permits nurses to hold one license yet practice in multiple NLC states. For additional details on Arkansas’s nursing licensure requirements, including continuing education requirements and the application process, visit the Arkansas State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 820
Passed (RN-Baccalaureate, 2022): 679
Pass Rate (RN-Baccalaureate, 2022): 83%

California (CA)

In California, the Board of Registered Nursing establishes licensure requirements that necessitate completing an accredited nursing program and passing the NCLEX. Unlike Arizona and Arkansas, California has not joined the Nurse Licensure Compact (NLC), meaning nurses licensed in California must apply for licensure by endorsement to practice in other states. For more information on California’s nursing licensure requirements, continuing education needs, and how to apply, visit the California Board of Registered Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 8,305
Passed (RN-Baccalaureate, 2022): 6,802
Pass Rate (RN-Baccalaureate, 2022): 82%

Colorado (CO)

In Colorado, the Board of Nursing sets licensure requirements, including the completion of an accredited nursing education program and passing the NCLEX. Colorado participates in the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states without additional licensure. Detailed information on Colorado’s nursing licensure requirements, continuing education requirements, and application process can be found at the Colorado Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,502
Passed (RN-Baccalaureate, 2022): 1,312
Pass Rate (RN-Baccalaureate, 2022): 87.4%

Connecticut (CT)

In Connecticut, the Department of Public Health’s Board of Examiners for Nursing is responsible for setting licensure requirements for nurses. These requirements include completing an accredited nursing education program and passing the NCLEX. Connecticut has not joined the Nurse Licensure Compact (NLC), requiring nurses to apply for licensure by endorsement to practice in other states. For more information on Connecticut’s nursing licensure requirements, continuing education requirements, and the application process, please refer to the Connecticut Department of Public Health, Board of Examiners for Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 1,411
Passed (RN-Baccalaureate, 2022): 1,212
Pass Rate (RN-Baccalaureate, 2022): 85.9%

Delaware (DE)

In Delaware, the Board of Nursing oversees the licensure of nurses, requiring the completion of an accredited nursing program and the NCLEX for licensure. Delaware is a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For additional details on Delaware’s nursing licensure requirements, including continuing education requirements and application procedures, visit the Delaware Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 338
Passed (RN-Baccalaureate, 2022): 279
Pass Rate (RN-Baccalaureate, 2022): 82.5%

District of Columbia (D.C.)

In the District of Columbia, the Board of Nursing is responsible for setting the licensure requirements for nurses, which includes completing an accredited nursing program and passing the NCLEX. While D.C. is not a member of the Nurse Licensure Compact (NLC), it offers unique opportunities and challenges due to its dense population and proximity to various state lines. Nurses seeking to work in D.C. are encouraged to understand the specific licensure requirements, including any continuing education mandates. For the most current information on D.C.’s nursing licensure requirements, application process, and more, visiting the District of Columbia Board of Nursing is recommended.

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 178
Passed (RN-Baccalaureate, 2022): 161
Pass Rate (RN-Baccalaureate, 2022): 90.4%

Florida (FL)

In Florida, the Board of Nursing establishes the licensure requirements, which include completing an approved nursing education program and passing the NCLEX. Florida is a participant in the Nurse Licensure Compact (NLC), facilitating nurses with a multistate license to practice across other NLC states. Detailed information on Florida’s nursing licensure requirements, continuing education needs, and application guidelines can be found at the Florida Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 5,528
Passed (RN-Baccalaureate, 2022): 4,282
Pass Rate (RN-Baccalaureate, 2022): 77.5%

Georgia (GA)

In Georgia, the Board of Nursing sets the licensure requirements, which include completing an accredited nursing education program and passing the NCLEX. Georgia is a participant in the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For additional information on Georgia’s nursing licensure requirements, including continuing education requirements and the application process, visit the Georgia Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 3,385
Passed (RN-Baccalaureate, 2022): 2,801
Pass Rate (RN-Baccalaureate, 2022): 82.7%

Hawaii (HI)

In Hawaii, the Board of Nursing is responsible for setting licensure requirements for nurses, which entail completing an approved nursing education program and passing the NCLEX. Hawaii has not adopted the Nurse Licensure Compact (NLC), meaning nurses licensed in Hawaii who wish to practice in other states must apply for licensure by endorsement. For more detailed information on Hawaii’s nursing licensure requirements, continuing education needs, and how to apply, please refer to the Hawaii Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 328
Passed (RN-Baccalaureate, 2022): 261
Pass Rate (RN-Baccalaureate, 2022): 79.6%

Idaho (ID)

In Idaho, the Board of Nursing oversees the licensure process for nurses, requiring completion of an accredited nursing program and passing the NCLEX. Idaho is a member of the Nurse Licensure Compact (NLC), which allows nurses with a multistate license to practice in other NLC states. For further details on Idaho’s nursing licensure requirements, continuing education requirements, and application guidelines, visit the Idaho Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 538
Passed (RN-Baccalaureate, 2022): 467
Pass Rate (RN-Baccalaureate, 2022): 86.8%

Illinois (IL)

In Illinois, the Department of Financial and Professional Regulation sets the licensure requirements for nurses, which include completing an approved nursing education program and passing the NCLEX. Illinois has not joined the Nurse Licensure Compact (NLC), meaning nurses licensed in Illinois wishing to practice in other states must obtain licensure by endorsement. For more information on Illinois’s nursing licensure requirements, continuing education requirements, and application process, visit the Illinois Department of Financial and Professional Regulation .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 4,212
Passed (RN-Baccalaureate, 2022): 3,346
Pass Rate (RN-Baccalaureate, 2022): 79.4%

Indiana (IN)

In Indiana, the Board of Nursing is responsible for setting licensure requirements for nurses. Requirements include completing an accredited nursing program and passing the NCLEX. Indiana is a member of the Nurse Licensure Compact (NLC), facilitating nurses with a multistate license to practice in other NLC states without the need for additional licensure. For more details on Indiana’s nursing licensure requirements, including continuing education needs and application instructions, visit the Indiana State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 2,591
Passed (RN-Baccalaureate, 2022): 2,129
Pass Rate (RN-Baccalaureate, 2022): 82.2%

Iowa (IA)

In Iowa, the Board of Nursing oversees the licensure process for nurses, which requires completing an accredited nursing education program and passing the NCLEX. Iowa is a participant in the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For additional information on Iowa’s nursing licensure requirements, continuing education requirements, and how to apply, visit the Iowa Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 885
Passed (RN-Baccalaureate, 2022): 732
Pass Rate (RN-Baccalaureate, 2022): 82.7%

Kansas (KS)

In Kansas, the Board of Nursing is responsible for setting licensure requirements for nurses, which include completing an accredited nursing program and passing the NCLEX. Kansas has joined the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more information on Kansas’s nursing licensure requirements, continuing education requirements, and the application process, visit the Kansas State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,073
Passed (RN-Baccalaureate, 2022): 900
Pass Rate (RN-Baccalaureate, 2022): 83.9%

Kentucky (KY)

In Kentucky, the Board of Nursing oversees licensure for nurses, requiring the completion of an accredited nursing education program and passing the NCLEX. Kentucky is a participant in the Nurse Licensure Compact (NLC), facilitating nurses with a multistate license to practice in other NLC states. For additional details on Kentucky’s nursing licensure requirements, including continuing education needs and application instructions, visit the Kentucky Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,321
Passed (RN-Baccalaureate, 2022): 1,168
Pass Rate (RN-Baccalaureate, 2022): 88.4%

Louisiana (LA)

In Louisiana, the State Board of Nursing sets the licensure requirements for nurses, including the completion of an accredited nursing program and passing the NCLEX. Louisiana is a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to work in other NLC states. For more information on Louisiana’s nursing licensure requirements, continuing education requirements, and how to apply, visit the Louisiana State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,460
Passed (RN-Baccalaureate, 2022): 1,289
Pass Rate (RN-Baccalaureate, 2022): 88.3%

Maine (ME)

In Maine, the Board of Nursing is in charge of setting licensure requirements for nurses, which entail completing an accredited nursing education program and passing the NCLEX. Maine has adopted the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For further details on Maine’s nursing licensure requirements, continuing education needs, and application guidelines, visit the Maine State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 612
Passed (RN-Baccalaureate, 2022): 484
Pass Rate (RN-Baccalaureate, 2022): 79.1%

Maryland (MD)

In Maryland, the Board of Nursing oversees the licensure process for nurses, requiring completion of an accredited nursing program and passing the NCLEX. Maryland is a participant in the Nurse Licensure Compact (NLC), which facilitates nurses with a multistate license to practice in other NLC states. For more information on Maryland’s nursing licensure requirements, including continuing education requirements and the application process, visit the Maryland Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,404
Passed (RN-Baccalaureate, 2022): 1,086
Pass Rate (RN-Baccalaureate, 2022): 77.4%

Massachusetts (MA)

In Massachusetts, the Board of Registration in Nursing is responsible for the licensure of nurses, which requires completing an accredited nursing program and passing the NCLEX. Massachusetts has not adopted the Nurse Licensure Compact (NLC), necessitating nurses who wish to practice in other states to apply for licensure by endorsement. For additional information on Massachusetts’s nursing licensure requirements, continuing education needs, and application instructions, visit the Massachusetts Board of Registration in Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 2,956
Passed (RN-Baccalaureate, 2022): 2,437
Pass Rate (RN-Baccalaureate, 2022): 82.4%

Michigan (MI)

In Michigan, the Board of Nursing outlines licensure requirements that include completing an approved nursing education program and passing the NCLEX. Michigan is not a member of the Nurse Licensure Compact (NLC), requiring nurses seeking to practice in other states to secure licensure by endorsement. For more details on Michigan’s nursing licensure requirements, including continuing education requirements and the application process, visit the Michigan Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 3,060
Passed (RN-Baccalaureate, 2022): 2,405
Pass Rate (RN-Baccalaureate, 2022): 78.6%

Minnesota (MN)

In Minnesota, the Board of Nursing manages licensure for nurses, requiring the completion of an accredited nursing education program and passing the NCLEX. Minnesota has not joined the Nurse Licensure Compact (NLC), meaning nurses licensed in Minnesota who wish to practice in other states must apply for licensure by endorsement. For more information on Minnesota’s nursing licensure requirements, continuing education needs, and application guidelines, visit the Minnesota Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 1,570
Passed (RN-Baccalaureate, 2022): 1,258
Pass Rate (RN-Baccalaureate, 2022): 80.1%

Mississippi (MS)

In Mississippi, the Board of Nursing is responsible for setting licensure requirements for nurses, which include completing an accredited nursing program and passing the NCLEX. Mississippi is a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For additional details on Mississippi’s nursing licensure requirements, including continuing education requirements and the application process, visit the Mississippi Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 648
Passed (RN-Baccalaureate, 2022): 538
Pass Rate (RN-Baccalaureate, 2022): 83.0%

Missouri (MO)

In Missouri, the Board of Nursing sets the licensure requirements, which entail completing an approved nursing education program and passing the NCLEX. Missouri is a participant in the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For more information on Missouri’s nursing licensure requirements, continuing education needs, and application guidelines, visit the Missouri State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 2,381
Passed (RN-Baccalaureate, 2022): 1,979
Pass Rate (RN-Baccalaureate, 2022): 83.1%

Montana (MT)

In Montana, the Board of Nursing establishes licensure requirements for nurses, including the completion of an accredited nursing program and passing the NCLEX. Montana is part of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more information on Montana’s nursing licensure requirements, continuing education needs, and the application process, visit the Montana Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 403
Passed (RN-Baccalaureate, 2022): 339
Pass Rate (RN-Baccalaureate, 2022): 84.1%

Nebraska (NE)

In Nebraska, the Department of Health & Human Services oversees the licensure of nurses, necessitating completion of an accredited nursing program and the NCLEX. Nebraska is a member of the Nurse Licensure Compact (NLC), facilitating nurses with a multistate license to practice across other NLC states. Detailed information on Nebraska’s nursing licensure requirements, including continuing education and the application process, can be found at the Nebraska Department of Health & Human Services .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,093
Passed (RN-Baccalaureate, 2022): 958
Pass Rate (RN-Baccalaureate, 2022): 87.6%

Nevada (NV)

In Nevada, the State Board of Nursing is responsible for setting licensure requirements for nurses, which include completing an accredited nursing education program and passing the NCLEX. Nevada participates in the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to work in other NLC states. For more information on Nevada’s nursing licensure requirements, continuing education requirements, and application details, visit the Nevada State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,130
Passed (RN-Baccalaureate, 2022): 978
Pass Rate (RN-Baccalaureate, 2022): 86.5%

New Hampshire (NH)

In New Hampshire, the Board of Nursing oversees the licensure process for nurses, requiring the completion of an accredited nursing program and the NCLEX. New Hampshire is a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For additional details on New Hampshire’s nursing licensure requirements, including continuing education needs and application instructions, visit the New Hampshire Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 430
Passed (RN-Baccalaureate, 2022): 399
Pass Rate (RN-Baccalaureate, 2022): 92.8%

New Jersey (NJ)

In New Jersey, the Board of Nursing sets the licensure requirements for nurses, including the completion of an accredited nursing program and passing the NCLEX. New Jersey recently joined the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For more information on New Jersey’s nursing licensure requirements, continuing education requirements, and how to apply, visit the New Jersey Board of Nursing .

Enacted the NLC?: Yes (Note: Please verify the current NLC status as it can change)
Candidates (RN-Baccalaureate, 2022): 2,205
Passed (RN-Baccalaureate, 2022): 1,762
Pass Rate (RN-Baccalaureate, 2022): 79.9%

New Mexico (NM)

In New Mexico, the Board of Nursing sets forth licensure requirements, including completing an accredited nursing education program and passing the NCLEX. New Mexico participates in the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states without additional licensing. For more information on New Mexico’s nursing licensure requirements, continuing education requirements, and application details, visit the New Mexico Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 591
Passed (RN-Baccalaureate, 2022): 466
Pass Rate (RN-Baccalaureate, 2022): 78.8%

New York (NY)

In New York, the Office of the Professions under the State Education Department oversees the licensure of nurses, requiring completion of an accredited nursing program and passing the NCLEX. New York has not joined the Nurse Licensure Compact (NLC), meaning nurses licensed in New York wishing to practice in other states need to apply for licensure by endorsement. For additional information on New York’s nursing licensure requirements, including continuing education and how to apply, visit the New York State Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 5,743
Passed (RN-Baccalaureate, 2022): 4,234
Pass Rate (RN-Baccalaureate, 2022): 73.7%

North Carolina (NC)

In North Carolina, the Board of Nursing is responsible for setting licensure requirements for nurses, which include completing an accredited nursing education program and passing the NCLEX. North Carolina is a member of the Nurse Licensure Compact (NLC), facilitating nurses with a multistate license to practice in other NLC states. For more details on North Carolina’s nursing licensure requirements, continuing education needs, and application guidelines, visit the North Carolina Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,907
Passed (RN-Baccalaureate, 2022): 1,660
Pass Rate (RN-Baccalaureate, 2022): 87.0%

North Dakota (ND)

In North Dakota, the Board of Nursing manages licensure for nurses, with requirements including completing an accredited nursing program and passing the NCLEX. North Dakota participates in the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For further information on North Dakota’s nursing licensure requirements, continuing education needs, and how to apply, visit the North Dakota Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 467
Passed (RN-Baccalaureate, 2022): 411
Pass Rate (RN-Baccalaureate, 2022): 88.0%

Ohio (OH)

In Ohio, the Board of Nursing sets licensure requirements that include the completion of an accredited nursing education program and passing the NCLEX. Ohio has not adopted the Nurse Licensure Compact (NLC), requiring nurses who wish to practice in other states to secure licensure by endorsement. For more details on Ohio’s nursing licensure requirements, including continuing education requirements and application instructions, visit the Ohio Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 4,589
Passed (RN-Baccalaureate, 2022): 3,680
Pass Rate (RN-Baccalaureate, 2022): 80.2%

Oklahoma (OK)

In Oklahoma, the Board of Nursing is responsible for setting licensure requirements, which include completing an accredited nursing education program and passing the NCLEX. Oklahoma is a member of the Nurse Licensure Compact (NLC), facilitating the practice of nursing across state lines for those holding a multistate license. For more information on Oklahoma’s nursing licensure requirements, continuing education needs, and application process, visit the Oklahoma Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,081
Passed (RN-Baccalaureate, 2022): 819
Pass Rate (RN-Baccalaureate, 2022): 75.8%

Oregon (OR)

In Oregon, the Oregon State Board of Nursing outlines licensure requirements for nurses, including the completion of an accredited nursing program and passing the NCLEX. Oregon has not joined the Nurse Licensure Compact (NLC), meaning nurses licensed in Oregon who wish to practice in other states need to obtain licensure by endorsement. For additional details on Oregon’s nursing licensure requirements, continuing education requirements, and how to apply, visit the Oregon State Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 1,012
Passed (RN-Baccalaureate, 2022): 851
Pass Rate (RN-Baccalaureate, 2022): 84.1%

Pennsylvania (PA)

In Pennsylvania, the Board of Nursing sets the licensure requirements for nurses, which entail completing an accredited nursing program and passing the NCLEX. Pennsylvania is not a member of the Nurse Licensure Compact (NLC), requiring nurses seeking to practice in other states to apply for licensure by endorsement. For more information on Pennsylvania’s nursing licensure requirements, continuing education needs, and application guidelines, visit the Pennsylvania State Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 5,267
Passed (RN-Baccalaureate, 2022): 4,502
Pass Rate (RN-Baccalaureate, 2022): 85.5%

Rhode Island (RI)

In Rhode Island, the Board of Nurse Registration and Nursing Education is in charge of nurse licensure, requiring the completion of an accredited nursing education program and passing the NCLEX for licensure. Rhode Island participates in the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For further information on Rhode Island’s nursing licensure requirements, including continuing education requirements and the application process, visit the Rhode Island Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 382
Passed (RN-Baccalaureate, 2022): 303
Pass Rate (RN-Baccalaureate, 2022): 79.3%

South Carolina (SC)

In South Carolina, the Board of Nursing oversees licensure for nurses, requiring the completion of an accredited nursing education program and passing the NCLEX. South Carolina is a member of the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to work in other NLC states. For more details on South Carolina’s nursing licensure requirements, continuing education needs, and application instructions, visit the South Carolina Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,362
Passed (RN-Baccalaureate, 2022): 1,221
Pass Rate (RN-Baccalaureate, 2022): 89.6%

South Dakota (SD)

In South Dakota, the Board of Nursing establishes licensure requirements for nurses, which include completing an accredited nursing education program and passing the NCLEX. South Dakota is part of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more information on South Dakota’s nursing licensure requirements, continuing education needs, and application details, visit the South Dakota Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 691
Passed (RN-Baccalaureate, 2022): 607
Pass Rate (RN-Baccalaureate, 2022): 87.8%

Tennessee (TN)

In Tennessee, the Board of Nursing is responsible for setting licensure requirements for nurses, which entail completing an accredited nursing program and passing the NCLEX. Tennessee participates in the Nurse Licensure Compact (NLC), facilitating nurses with a multistate license to work in other NLC states. For additional details on Tennessee’s nursing licensure requirements, including continuing education requirements and application instructions, visit the Tennessee Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 2,897
Passed (RN-Baccalaureate, 2022): 2,507
Pass Rate (RN-Baccalaureate, 2022): 86.5%

Texas (TX)

In Texas, the Board of Nursing outlines licensure requirements that include completing an approved nursing education program and passing the NCLEX. Texas is a member of the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more information on Texas’s nursing licensure requirements, continuing education needs, and how to apply, visit the Texas Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 8,468
Passed (RN-Baccalaureate, 2022): 7,275
Pass Rate (RN-Baccalaureate, 2022): 85.9%

Utah (UT)

In Utah, the Division of Occupational and Professional Licensing (DOPL) is responsible for nurse licensure, requiring completion of an accredited nursing program and the NCLEX. Utah participates in the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For further information on Utah’s nursing licensure requirements, continuing education requirements, and application process, visit the Utah Division of Occupational and Professional Licensing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 1,430
Passed (RN-Baccalaureate, 2022): 1,097
Pass Rate (RN-Baccalaureate, 2022): 76.7%

Vermont (VT)

In Vermont, the Board of Nursing oversees licensure for nurses, which includes completing an accredited nursing education program and passing the NCLEX. Vermont has joined the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more information on Vermont’s nursing licensure requirements, including continuing education needs and application instructions, visit the Vermont State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 227
Passed (RN-Baccalaureate, 2022): 196
Pass Rate (RN-Baccalaureate, 2022): 86.3%

Virginia (VA)

In Virginia, the Board of Nursing regulates licensure for nurses, requiring the completion of an accredited nursing program and passing the NCLEX. Virginia is a member of the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For more details on Virginia’s nursing licensure requirements, continuing education needs, and application procedures, visit the Virginia Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 2,502
Passed (RN-Baccalaureate, 2022): 2,068
Pass Rate (RN-Baccalaureate, 2022): 82.7%

Washington (WA)

In Washington, the Nursing Commission is responsible for nurse licensure, which includes completing an accredited nursing education program and passing the NCLEX. Washington has not joined the Nurse Licensure Compact (NLC), requiring nurses who wish to practice in other states to apply for licensure by endorsement. For additional information on Washington’s nursing licensure requirements, continuing education requirements, and application process, visit the Washington State Board of Nursing .

Enacted the NLC?: No
Candidates (RN-Baccalaureate, 2022): 1,088
Passed (RN-Baccalaureate, 2022): 870
Pass Rate (RN-Baccalaureate, 2022): 80.0%

West Virginia (WV)

In West Virginia, the Board of Examiners for Registered Professional Nurses sets the licensure requirements, including completing an accredited nursing program and passing the NCLEX. West Virginia participates in the Nurse Licensure Compact (NLC), which allows nurses with a multistate license to practice in other NLC states. For more details on West Virginia’s nursing licensure requirements, including continuing education needs and application instructions, visit the West Virginia RN Board .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 381
Passed (RN-Baccalaureate, 2022): 344
Pass Rate (RN-Baccalaureate, 2022): 90.3%

Wisconsin (WI)

In Wisconsin, the Board of Nursing oversees licensure for nurses, necessitating the completion of an accredited nursing education program and passing the NCLEX. Wisconsin is a member of the Nurse Licensure Compact (NLC), enabling nurses with a multistate license to practice in other NLC states. For additional information on Wisconsin’s nursing licensure requirements, continuing education requirements, and how to apply, visit the Wisconsin Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 2,636
Passed (RN-Baccalaureate, 2022): 2,112
Pass Rate (RN-Baccalaureate, 2022): 80.1%

Wyoming (WY)

In Wyoming, the State Board of Nursing regulates the licensure of nurses, which includes completing an accredited nursing program and passing the NCLEX. Wyoming participates in the Nurse Licensure Compact (NLC), allowing nurses with a multistate license to practice in other NLC states. For more details on Wyoming’s nursing licensure requirements, including continuing education needs and application instructions, visit the Wyoming State Board of Nursing .

Enacted the NLC?: Yes
Candidates (RN-Baccalaureate, 2022): 71
Passed (RN-Baccalaureate, 2022): 60
Pass Rate (RN-Baccalaureate, 2022): 84.5%

Understanding the Licensure Process

The path to becoming a licensed nurse, although rigorous, is a journey well mapped out by each state’s nursing board. This process is designed to ensure that every nurse entering the profession is equipped with the necessary skills, knowledge, and ethical foundation to provide high-quality care. While nurse licensure requirements by state may differ, the general steps to obtaining a nursing license are fairly consistent across the United States.

Education

The first step in the licensure process is completing an accredited nursing program. Prospective nurses can choose between several educational paths, including an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). Some states and employers may require a BSN for licensure or employment, highlighting the importance of understanding specific state requirements and career goals when selecting a program. Accreditation by organizations such as the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) is crucial, as this ensures the program meets the high standards necessary for licensure.

Examination

Upon completing an accredited nursing program, the next step is to pass the National Council Licensure Examination (NCLEX). The NCLEX is a standardized exam that measures a candidate’s readiness to enter professional nursing practice. It covers a broad range of topics, from patient care and safety to infection control and health promotion. Successful completion of the NCLEX is a requirement for licensure in all states.

Application and Additional Requirements

With education and examination requirements met, candidates must then apply for licensure through their state’s nursing board. This process typically involves submitting proof of education, passing the NCLEX, and may also include additional steps such as background checks, fingerprinting, and submitting professional references. Some states have specific requirements beyond the NCLEX, including coursework in areas like domestic violence, child abuse, or substance abuse, aimed at preparing nurses for the specific challenges they may face in their practice.

Renewal and Continuing Education

Maintaining a nursing license requires adherence to renewal protocols set forth by each state’s nursing board. These protocols often include continuing education (CE) requirements, which ensure nurses stay current with the latest practices, technologies, and ethical standards in healthcare. The frequency of renewal and the number of CE hours required can vary significantly by state.

The licensure process is comprehensive, designed not only to evaluate the competency of prospective nurses but also to prepare them for the realities of healthcare practice. By understanding and carefully navigating this process, prospective nurses can set themselves up for a successful and fulfilling career in nursing.

Licensure for Advanced Practice Registered Nurses (APRNs)

Advanced Practice Registered Nurses (APRNs) represent a group of highly skilled nursing professionals who have obtained advanced degrees and training, enabling them to provide a higher level of patient care. APRNs include Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Certified Nurse-Midwives (CNMs), and Certified Registered Nurse Anesthetists (CRNAs). The licensure process for APRNs is more rigorous, reflecting their expanded roles and the specialized care they provide.

Advanced Education and Certification

The foundational step for APRN licensure is the completion of an advanced nursing degree, typically a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP). These programs offer specialized training in areas such as family practice, anesthesia, midwifery, or mental health. Graduates must then pass a national certification exam in their specific area of practice, which is essential for licensure and practice as an APRN.

State Licensure Requirements

While nurse licensure requirements by state for RNs already exhibit some variation, the requirements for APRN licensure can be even more diverse. In addition to holding a current RN license and completing an accredited advanced degree program, APRNs may need to meet additional state-specific requirements. These can include:

Clinical Experience: Many states require APRNs to have a certain number of clinical hours in their specialty area. This hands-on experience is crucial for ensuring APRNs are well-prepared for the complex decision-making and patient care responsibilities they will face.
Continuing Education: APRNs are often required to complete more CE hours than RNs, reflecting their advanced scope of practice and the need to stay abreast of the latest developments in their specialty areas.
Collaborative Agreements: Some states require APRNs, especially NPs, to enter into collaborative agreements with physicians. These agreements outline the APRN’s scope of practice and the conditions under which they must consult with or refer patients to a physician.

Practice Autonomy

One of the most discussed aspects of APRN licensure is the level of practice autonomy, which varies significantly by state. Some states allow “full practice” status, enabling APRNs to assess, diagnose, interpret diagnostic tests, and initiate treatment plans independently. Other states may have “reduced” or “restricted” practice, requiring APRNs to have a collaborative agreement with a physician or adhere to other limitations on their practice scope.

Impact on Healthcare

APRNs play a critical role in expanding access to healthcare, especially in underserved areas. They provide essential services ranging from primary care to specialized procedures, often serving as a patient’s primary healthcare provider. Understanding the licensure requirements and scope of practice for APRNs is crucial for those looking to advance their nursing career and for healthcare systems aiming to meet the evolving needs of their communities.

For prospective APRNs, navigating the licensure process involves not only meeting educational and clinical prerequisites but also understanding the legal and professional landscape of nursing practice in their state. This ensures they can fully utilize their skills and training to improve patient outcomes and contribute to the broader healthcare system.

Frequently Asked Questions (FAQs)

What is the Nurse Licensure Compact (NLC)?

The Nurse Licensure Compact (NLC) is an agreement among participating U.S. states that allows nurses to hold one multistate license, granting them the ability to practice both in their home state and other NLC states. This compact simplifies the process for nurses who wish to practice in multiple states, enhancing the mobility of the nursing workforce and facilitating a quicker response to healthcare needs across state lines. For up-to-date information on which states are part of the NLC and how to apply for a multistate license, visit the National Council of State Boards of Nursing (NCSBN) website at NCSBN.org.

How does one transfer a nursing license from one state to another?

Transferring a nursing license from one state to another, in states not part of the NLC, typically requires applying for licensure by endorsement in the state where you wish to practice. This process usually involves submitting verification of your current license, evidence of your education, passing the NCLEX, and sometimes completing additional state-specific requirements. It’s important to check with the nursing board of the state you’re moving to for detailed instructions and requirements.

Can I work as a nurse in multiple states?

Yes, you can work as a nurse in multiple states. If you hold a multistate license under the Nurse Licensure Compact (NLC), you can practice in any NLC member state. If you wish to work in a state not part of the NLC, you’ll need to obtain licensure by endorsement for that state. Each state has its own requirements and process for licensure by endorsement, so it’s essential to consult the state’s nursing board for specific information.

How often do I need to renew my nursing license?

The renewal period for a nursing license varies by state, typically ranging from one to four years. Most states also require a certain number of continuing education (CE) hours for license renewal. The specific requirements for renewal, including the number of CE hours, can be found by consulting your state’s board of nursing website.

What happens if my nursing license expires?

If your nursing license expires, you are not legally allowed to practice as a nurse until you have renewed your license. The process for renewing an expired license varies by state and may involve additional fees, completing CE hours, and submitting a renewal application. In some cases, if the license has been expired for a long time, you may need to meet additional requirements, such as retaking the NCLEX. It’s crucial to renew your license on time to avoid these complications.

Understanding the ins and outs of nurse licensure requirements by state is key to navigating your career in nursing smoothly. Whether you’re just starting your journey or looking to expand your practice across state lines, staying informed and proactive about licensure will serve you well in your professional endeavors.

Take the Next Step in Your Nursing Career

As we’ve explored the nurse licensure requirements by state, the importance of licensure in the nursing profession cannot be overstated. It is a pivotal step that ensures nurses are well-equipped with the knowledge, skills, and ethical understanding necessary to provide high-quality care to patients across the United States. For prospective nursing students and nurses looking to advance their careers, understanding these requirements is crucial for making informed decisions that align with your professional goals and aspirations.

We encourage you to take the next step in your nursing career with confidence. Whether you are just starting out on your educational journey or seeking to expand your practice into new states or advanced roles, there is a wealth of resources available to guide you. Visit the websites of the National Council of State Boards of Nursing (NCSBN) and your state’s board of nursing for detailed, up-to-date information on licensure requirements, the Nurse Licensure Compact (NLC), and much more.