How to Become an LPN in North Carolina for 2025

Co-Founder and Chief Data Scientist

North Carolina’s healthcare industry is expanding, and the need for Licensed Practical Nurses (LPNs) has never been higher. Yet many aspiring nurses miss out on prime job opportunities simply because they aren’t prepared to meet the licensing requirements fast enough. Don’t let delays hold you back. This guide, prepared by experts in career planning, offers a clear roadmap to help you complete your training, pass the NCLEX-PN, and launch your nursing career in North Carolina.

Key Things to Know About Becoming an LPN in North Carolina

North Carolina’s LPN job outlook is positive, with a projected growth rate of 12% through 2030, driven by an aging population and increased healthcare needs.
The average annual salary for LPNs in North Carolina is approximately $47,000, varying by location and experience within the state.
Noteworthy employers include Duke University Health System, WakeMed Health & Hospitals, and Vidant Medical Center, all prominent healthcare providers in North Carolina.

What education is required to become an LPN in North Carolina?
How do you obtain an LPN license in North Carolina?
Can you transfer your LPN license to North Carolina?
What financial aid options are available for LPN students in North Carolina?
What is the average salary of an LPN in North Carolina?
What is the job outlook for LPNs in North Carolina?
Where do LPNs work in North Carolina?
How Can LPNs Diversify Their Skills to Enhance Career Resilience in North Carolina?
What distinguishes an LPN from a LVN in North Carolina?
What additional certifications can enhance an LPN’s career in North Carolina?
Are there any recent changes to North Carolina nursing licensure requirements?
Are there other career opportunities that LPNs can explore in North Carolina?
What are the challenges of being an LPN in North Carolina’s healthcare system?
How can LPNs transition to advanced practice roles such as nurse practitioners in North Carolina?
Other Things You to Know About Being an LPN in North Carolina

What education is required to become an LPN in North Carolina?

Becoming a Licensed Practical Nurse (LPN) in North Carolina involves meeting specific educational standards designed to ensure readiness for the profession. The state requires a combination of formal coursework and practical training to equip aspiring nurses with the necessary skills and knowledge. Below is a detailed overview of the key educational prerequisites for this career path.

Completion of an Approved Nursing Program

Prospective LPNs must complete a state-approved practical nursing education program, typically lasting about one year. Enrollment generally requires a high school diploma or a General Educational Development (GED) certificate. Programs at institutions like Forsyth Technical Community College and Fayetteville Technical Community College are highly regarded for their strong nursing curricula.

Academic and Clinical Training

The curriculum blends classroom instruction with hands-on clinical practice. Students study foundational subjects such as anatomy, physiology, pharmacology, and core nursing principles, all tailored to address healthcare needs in North Carolina. In addition, extensive supervised clinical hours are required in various healthcare settings, including hospitals, nursing homes, and community health centers.

How do you obtain an LPN license in North Carolina?

Understanding and navigating this process thoughtfully can help ensure a smooth transition into the nursing profession within the state. The following outlines the essential requirements to secure an LPN license in North Carolina:

Complete and submit an application to the North Carolina Board of Nursing, including all necessary documents and the applicable fees.
Successfully pass the NCLEX-PN exam, which evaluates the practical nursing knowledge and skills required for entry-level practice.
Undergo a criminal background check as required by the Board to confirm adherence to professional and legal standards.
Provide proof of graduation from a practical nursing program that is officially approved by the North Carolina Board of Nursing.
Submit current licensure verification if applying from another state, and fulfill any additional North Carolina-specific licensing requirements.

Applicants must be at least 18 years old and possess good moral character, reflecting the ethical standards expected in nursing. Furthermore, maintaining licensure demands ongoing renewal and continuing education, which help uphold the quality of care provided by practical nurses across North Carolina.

Can you transfer your LPN license to North Carolina?

Yes, transferring an LPN license to North Carolina from another state is feasible through endorsement, a process designed to support nurse mobility while maintaining high standards. Understanding the steps involved can help ensure a smooth transition for those seeking North Carolina LPN license reciprocity.

To transfer your LPN license to North Carolina, you must:

Hold a current, active LPN license in a U.S. state or territory that is in good standing with no disciplinary actions pending or imposed.
Submit an application for licensure by endorsement to the North Carolina Board of Nursing along with the required fee.
Provide verification of your original and current license(s) through the Nursing Licensure Compact or directly from the state board where you were licensed.
Complete a criminal background check as part of the application process.
Meet any additional requirements set by the North Carolina Board of Nursing, such as proof of completion of an approved practical nursing program or passing the NCLEX-PN examination.

Since North Carolina is not part of the Nursing Licensure Compact (NLC), endorsement remains the primary pathway for licensure transfer. The Board carefully reviews each application to safeguard the quality of nursing practice. For those exploring options, it is also valuable to compare different educational routes, as understanding the distinctions between LPN certificates vs nursing degrees training can influence career planning.

Number of approved LPN programs in the US

What financial aid options are available for LPN students in North Carolina?

Several programs are tailored specifically for those committed to entering the nursing field within the state. Below is a selection of financial aid options designed to support LPN students in their educational journey.

North Carolina Nursing Scholarship Program: Offers scholarships ranging from $1,000 to $3,000 to students enrolled in approved practical nursing programs, with a requirement to work in a North Carolina healthcare facility after graduation.
Career and College Promise (CCP) Nursing Pathway: Provides tuition-free access to community college nursing courses, including LPN training, available to eligible high school students and adult learners.
North Carolina Community College Grant: A need-based grant that helps cover tuition and fees, with award amounts varying according to financial need.
Raleigh Nurses Foundation Scholarship: Targets nursing students committed to serving the regional community, offering scholarships to support their education.
Health Professions Loan Repayment Program: Encourages LPNs to work in underserved areas by offering loan forgiveness to help reduce educational debt.

What is the average salary of an LPN in North Carolina?

The average annual salary ranges from approximately $45,000 to $48,000, according to 2023 data from the U.S. Bureau of Labor Statistics. This salary aligns closely with the national median for LPN earnings, offering a moderate wage level in comparison to other states. Considering North Carolina’s below-average cost of living, this pay is generally adequate to cover essential expenses like housing, healthcare, and transportation, especially outside major urban centers.

When compared to states such as California and New York, where average LPN salaries often exceed $55,000, North Carolina’s wages appear lower. However, these higher salaries reflect the increased living costs and heightened demand for healthcare professionals in those regions. Thus, the purchasing power of LPNs in North Carolina remains competitive despite the nominal difference in pay.

Wage variations within North Carolina itself are influenced by factors including geographic location, professional experience, certifications, and the specific healthcare setting. LPNs employed in metropolitan hospitals or specialized facilities typically earn more than those working in rural clinics or long-term care centers. Prospective nurses interested in advancing their careers may explore LPN to RN programs degree options to increase earning potential and job prospects.

What is the job outlook for LPNs in North Carolina?

Labor forecasts suggest that LPN jobs in the state will expand by about 10% within the next decade, aligning closely with the national growth trend. This steady increase is largely influenced by an aging population that requires more comprehensive long-term care, alongside broader healthcare coverage that increases the need for qualified nursing professionals.

Each year, roughly 1,100 new LPN job openings become available across North Carolina. These positions arise not only from the creation of new roles but also from the need to replace nurses who retire or change careers. This consistent availability of job openings points to a relatively secure employment environment for those entering the field.

For individuals considering a career as an LPN in North Carolina, these trends offer encouraging news. The ongoing demand in diverse settings such as hospitals, nursing homes, and community health services presents multiple opportunities for both entry-level employment and career advancement.

Where do LPNs work in North Carolina?

Various employers offer unique environments and opportunities suited to different career goals and lifestyles. Below is a list highlighting specific healthcare facilities.

Atrium Health: One of the largest healthcare systems in the state, Atrium Health employs LPNs in medical-surgical units and rehabilitation centers, offering competitive wages and continuing education—ideal for those seeking skill advancement.
WakeMed Health & Hospitals: Located in Raleigh, WakeMed provides a collaborative atmosphere with specialized training programs, emphasizing patient-centered care and professional growth.
Brookdale Senior Living: This long-term care facility focuses on compassionate care for elderly patients, often providing flexible scheduling options beneficial for those balancing work and personal life.
Signature HealthCARE: Another leading long-term care provider, Signature HealthCARE prioritizes supportive environments and quality care for its residents, attracting LPNs dedicated to elderly care.
Maxim Healthcare Services: Offering home health nursing positions, Maxim allows LPNs to deliver personalized care in patients' homes, fostering autonomy and close patient relationships.

For those considering entry into this field, exploring accredited LPN programs can be a crucial first step in securing employment with these or other healthcare employers across North Carolina.

How Can LPNs Diversify Their Skills to Enhance Career Resilience in North Carolina?

LPNs seeking to further secure their position in a competitive healthcare market can benefit from broadening their expertise beyond direct clinical practice. Expanding into complementary skill areas—such as healthcare informatics, leadership, or administrative management—equips nurses with a versatile profile adaptable to evolving industry demands. Exploring specialized training in healthcare technology, for instance, may lead to roles in medical billing or coding; see how to become a medical coder in North Carolina for related career pathways. Emphasizing targeted continuing education and cross-disciplinary training not only bolsters professional confidence but also contributes to better patient outcomes and more diverse career opportunities.

What distinguishes an LPN from a LVN in North Carolina?

Although the titles Licensed Practical Nurse (LPN) and Licensed Vocational Nurse (LVN) are often used interchangeably, subtle distinctions in training emphasis and regulatory criteria can exist. In North Carolina, the credentialing and practice standards generally align, yet understanding the nuances between program structures and clinical focus can be crucial for making an informed career choice. For professionals weighing their training options, it is beneficial to explore the vocational pathway and compare curricular differences to align with personal career goals. For more specific guidance, see How to become an LVN nurse in North Carolina?.

What additional certifications can enhance an LPN’s career in North Carolina?

For those exploring certification options, pursuing additional qualifications can open new pathways and lead to greater autonomy in healthcare settings.

Two prominent certifications that can significantly benefit LPNs in North Carolina include:

IV Therapy Certification: This certification equips LPNs with the skills to safely administer intravenous medications and fluids, a critical and in-demand capability in hospitals, clinics, and long-term care. Mastery of IV therapy enables LPNs to handle more complex clinical tasks and contribute more substantially to patient care teams.
Wound Care Certification: Focused on the assessment and management of wounds such as pressure ulcers and surgical sites, this certification empowers LPNs to improve patient outcomes through specialized treatment techniques. Wound care expertise is especially valued in rehabilitation centers and home health environments.

LPN advanced certifications in North Carolina not only improve technical skills but also position nurses for roles with increased responsibilities and potential salary growth. This trend reflects the healthcare industry’s growing appreciation for specialized knowledge and competencies. For those interested in expanding their qualifications, exploring the best fast-track LPN programs can be an effective way to accelerate career advancement.

Are there any recent changes to North Carolina nursing licensure requirements?

Staying informed on regulatory updates is essential for sustaining licensure and ensuring optimal practice. The state’s Board of Nursing routinely adjusts policies covering areas such as continuing education, background screening, and renewal procedures to enhance patient safety and professional accountability. LPNs should monitor these developments and verify that they meet any new criteria without delay. For comprehensive and current guidelines, refer to our guide on North Carolina nursing licensure requirements.

Are there other career opportunities that LPNs can explore in North Carolina?

The state offers many paths where LPNs can leverage their clinical knowledge and experience to transition into roles that provide both professional growth and new challenges. These options reflect the diverse needs within healthcare and related fields, illustrating how career advancement for LPNs in North Carolina can extend well beyond direct patient care.

Medical Biller: Medical billers manage the coding and billing process for healthcare providers, ensuring accurate insurance reimbursement. LPNs’ clinical background helps them understand medical terminology and coding, making this a practical alternative career.
Pharmacy Technician: Assisting pharmacists in preparing and dispensing medications, this role fits LPNs due to their familiarity with medications and patient care. North Carolina supports this pathway with accredited programs and review classes.
Home Health Aide Supervisor: Experienced LPNs can step into leadership roles by supervising and training home health aides, combining nursing expertise with management skills.
Clinical Research Coordinator: This position involves managing clinical trials and patient data, appealing to LPNs interested in research and healthcare innovation.
Healthcare Informatics Specialist: For tech-savvy LPNs, this role focuses on managing patient data systems. Training programs in North Carolina help bridge clinical knowledge with information technology skills.

For those exploring these alternatives, pursuing further education is often essential. North Carolina provides numerous resources and training options, including flexible online LPN to RN programs courses that can help prepare for certification and skill development in these varied fields.

What are the challenges of being an LPN in North Carolina’s healthcare system?

Becoming a Licensed Practical Nurse (LPN) in North Carolina involves navigating a healthcare landscape that presents several distinct challenges. Understanding these hurdles is essential for those preparing to enter this profession and can help build resilience and adaptability.

Nursing shortages, especially in rural regions: Many areas outside urban centers struggle with insufficient nursing staff, leading to heavier workloads and increased stress for LPNs.
Restricted scope of practice: Regulatory limitations prevent LPNs from performing some clinical duties allowed to Registered Nurses, which can hinder job satisfaction and limit career growth.
Continuous skill enhancement: The rise of telehealth and new medical technologies demands ongoing education, a challenge particularly for LPNs in smaller or less equipped facilities.
Wage growth lagging behind living costs: While the cost of living rises, especially in cities like Charlotte and Raleigh, LPN salaries have not kept pace, impacting financial stability.
Competitive job market pressure: The presence of RNs and nurse practitioners vying for similar positions creates a tougher environment for LPNs seeking employment.

What LPNs in North Carolina Say About Their Careers

The support from local training programs made my transition smooth, and I truly feel that I’m making a direct impact on families here. The balance between my career and family life is manageable, which keeps me motivated every day. –Helena

After graduating from a program in Charlotte, I was drawn to the opportunities for growth within North Carolina’s healthcare system. It’s rewarding to see how my experience as an LPN opens doors to advanced roles in nursing. –Marco

As a veteran LPN working in Raleigh, I appreciate the stability and respect our profession holds in this state. The cost of living here allows me to support my family comfortably while mentoring new nurses entering the field. –Leslie

How can LPNs transition to advanced practice roles such as nurse practitioners in North Carolina?

LPNs aiming to move beyond traditional practice should consider pathways that lead to elevated clinical responsibilities. Leveraging clinical experience and targeted further education can open doors to advanced roles. Establishing a clear plan that includes enrolling in accredited bridge programs and acquiring specialized training is essential. For professionals interested in expanding their scope of practice, exploring becoming a nurse practitioner in North Carolina can be a strategic next step that enhances career resilience and future prospects.

Other Things to Know About Being an LPN in North Carolina

How much does it cost to complete an LPN program in North Carolina?

The cost to complete an LPN program in North Carolina typically ranges from $10,000 to $20,000 in tuition. This amount varies depending on the school and program length. For example, tuition at Fayetteville Technical Community College is around $12,000, while at Wake Technical Community College it may approach $15,000. Beyond tuition, students should anticipate additional expenses such as textbooks, uniforms, licensing exam fees, and background checks, which can add several hundred dollars to the total cost.

Are there fast-track LPN programs in North Carolina?

Yes, North Carolina offers fast-track LPN programs designed for students seeking an accelerated path. These programs typically last about 12 to 18 months, shorter than traditional routes, allowing quicker entry into the nursing workforce. Prerequisites often include a high school diploma, basic science courses, and sometimes healthcare experience. Such programs demand dedication due to their intensive pace but can be rewarding for motivated candidates.

Examples of accelerated LPN programs in North Carolina include those at Wake Technical Community College and Fayetteville Technical Community College. Both provide structured curricula that balance theory with clinical practice, preparing students efficiently for licensure.

Can you take online LPN programs in North Carolina?

In North Carolina, fully online LPN programs are rare due to the hands-on nature of nursing training. Most programs blend online coursework with in-person clinical practice to meet state licensing requirements. This hybrid approach ensures students gain essential practical skills. While online classes offer flexibility, on-campus components provide direct supervision and real-world experience crucial for nursing competence.

Choosing a program requires understanding these differences. On-campus programs may offer more structured guidance and immediate feedback. Online options can benefit those balancing work or family but demand strong self-discipline.

Is North Carolina a good place for LPNs?

North Carolina is generally considered a favorable state for those pursuing a career as a Licensed Practical Nurse (LPN). The demand for LPNs remains steady, driven by a growing healthcare sector and an aging population that requires consistent care. With numerous hospitals, clinics, and long-term care facilities across the state, qualified LPNs can find strong employment opportunities. This healthcare expansion not only creates a stable job market but also opens doors for career advancement within various healthcare settings.

In addition to job stability, North Carolina offers a competitive salary range for LPNs that typically aligns with the national average, making it a financially viable career path. Educational access is another advantage, as the state hosts many accredited practical nursing programs known for their flexible schedules and affordable tuition. These programs enable aspiring nurses to complete their training efficiently while balancing work or family responsibilities, helping more individuals enter the workforce prepared and qualified.