2025 Tennessee Nursing License Requirements

Co-Founder and Chief Data Scientist

Preparation is key in the field of nursing. This is why aspiring nurses need to work hard and smart during your training, your licensure period, and your practice. To help you get started on your licensure preparation, I, a career-planning expert with over a decade of professional experience, created this in-depth guide to Tennessee nursing license requirements. I discuss educational qualifications, career outlook, and license renewal requirements, among other essential details you need to know as you begin to build your nursing career in the Volunteer State.

Key Things You Should Know about Tennessee Nursing Licenses

Licensing Body: The Tennessee Board of Nursing oversees the licensing process for nurses in the state, ensuring compliance with state regulations and standards.
Exam Requirement: In the United States (US), nursing candidates must pass the National Council Licensure Examination (NCLEX) to obtain licensure. The examination is offered separately for aspiring registered nurses (RNs) and aspiring licensed practical nurses (LPNs).
Educational Prerequisites: Applicants must complete an accredited nursing program, which includes a minimum of 1,000 hours of clinical practice.
Application Process: Prospective nurses must submit an application through the Tennessee Online Licensing System, including proof of education, exam results, and a criminal background check.
Renewal and Continuing Education: Tennessee nursing licenses must be renewed every 2 years. Nurses are required to complete 30 hours of continuing education during that period.

What is a Tennessee nursing license and why is it necessary?
What types of nursing licenses are available in Tennessee?
What are the requirements for a Tennessee nursing license?
How do you apply for a nursing license in Tennessee?
How often do you need to renew your nursing license in Tennessee?
Can a Compact nurse practice in Tennessee?
What are the current job market trends for nurses in Tennessee?
How can nurses licensed in other states obtain a license in Tennessee?
What are the initial steps to kickstart your nursing career in Tennessee?
What factors influence the cost of LPN programs in Tennessee?
What pitfalls should you avoid during the Tennessee nursing licensure process?
What tips and resources can help you through the licensing exam in Tennessee?
What is the cost of pursuing advanced nursing roles in Tennessee?
What are the best nursing programs available in Tennessee for those looking to pursue a degree in nursing?
What are the career prospects for nurse midwives in Tennessee?
Is an online nursing degree a solid foundation for your Tennessee nursing career?
What are the requirements to become a LPN in Tennessee?
What supplemental certifications can enhance your Tennessee nursing career?
How can mentorship and professional networking boost your Tennessee nursing career?
What are the continuing education opportunities for nurses in Tennessee?
Other Things You Should Know about Nursing Licenses in Tennessee

What is a Tennessee nursing license and why is it necessary?

A nursing license in Tennessee serves as a legal credential that authorizes individuals to practice nursing within the state. This credential is crucial for ensuring that nurses possess the necessary qualifications and adhere to established professional standards, ultimately protecting public health and safety.

Established in 1911, the Tennessee Board of Nursing is the regulatory authority responsible for overseeing nursing licensure in the state. Its core mission is to ensure that nursing practitioners are properly qualified and licensed, which is essential for maintaining high standards of care. The board's responsibilities can be summarized in three key areas:

Licensure: Granting licenses to qualified nursing professionals
Education: Regulating nursing education programs to ensure compliance with established standards
Practice: Monitoring nursing practices to uphold professional integrity

In addition to managing initial licensure, the board also oversees the renewal of nursing licenses. This process enables nurses to update their knowledge and skills. Moreover, the board has the authority to issue specialized certifications, such as the Medication Aide Certificate, for those who complete additional training.

The significance of a nursing license extends beyond legal compliance. It reflects a commitment to quality care and public safety. Thus, RNs in the US have a potential salary that is higher than the estimated median annual wage for millions of full-time wage and salary workers across the country. In 2023, RNs had a median annual wage of $86,070 [US Bureau of Labor Statistics (BLS), 2024], emphasizing the value of this profession.

A nurse from Tennessee shared her experience regarding the necessity of a nursing license. She recalled the moment she received her license, feeling a mix of pride and anxiety. “It was a culmination of years of hard work,” she said. However, she also faced challenges, such as navigating the complexities of continuing education requirements. “Every 2 years, I have to remind myself to stay on top of my renewal,” she reflected. This ongoing commitment, she noted, not only keeps her skills sharp but also reassures her patients that they are in capable hands. Her journey illustrates that a nursing license represents dedication to the profession and the well-being of the community.

For those considering advanced nursing roles, understanding the differences between various nursing degrees can be beneficial. For example, the distinction between FNP vs DNP can influence career paths and opportunities.

What types of nursing licenses are available in Tennessee?

In Tennessee, aspiring nursing professionals can choose between two primary licensing options: Registered Nurse (RN) and Licensed Practical Nurse (LPN). Each license comes with specific educational requirements and defined scopes of practice, reflecting the various types of nursing licenses in Tennessee.

Registered Nurse (RN): To become an RN, candidates must complete an accredited nursing program, which typically culminates in either an Associate's Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). RNs engage in a broad spectrum of patient care responsibilities, such as administering medications, coordinating care plans, and providing health education to patients. They are commonly employed in various healthcare environments, including hospitals and outpatient clinics.
Licensed Practical Nurse (LPN): LPNs are required to finish a state-approved practical nursing program, generally lasting about 1 year. Their duties focus on delivering fundamental nursing care under the supervision of RNs or physicians. LPNs often find employment in nursing homes, hospitals, and outpatient facilities, where they monitor vital signs and assist patients with daily activities.

Both RN and LPN candidates must pass the NCLEX that corresponds to their respective roles. Moreover, Tennessee mandates that nursing licenses be renewed every 2 years, along with ongoing education, to ensure that practitioners stay updated in their field.

A nurse from Tennessee shared her journey of becoming an RN, reflecting on the rigorous yet rewarding process. She recalled the long nights spent studying for the NCLEX, the anxiety of waiting for her results, and the joy of finally receiving her license. Working in a busy hospital, she faced different challenges, such as managing patient loads and collaborating with diverse healthcare teams. Yet, she found fulfillment in making a difference in her patients' lives. Her experience has reinforced her commitment to lifelong learning and professional growth in nursing. For those interested in advancing their education, there are options available, including online accelerated BSN programs.

What are the requirements for a Tennessee nursing license?

To obtain a nursing license in Tennessee, candidates must meet several essential criteria that ensure that they are adequately prepared for the nursing profession. The primary requirements include:

Educational Background: Candidates must graduate from an accredited nursing program. This can be either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). These programs combine theoretical knowledge with practical clinical experiences, equipping students with the skills necessary for effective patient care. Understanding the differences among nursing programs, such as an LPN certificate vs associate's degree program, can also help candidates make informed decisions about their educational paths.
Clinical Experience: A significant aspect of nursing education is the completion of clinical hours. Programs usually mandate a minimum number of hands-on training hours in diverse healthcare environments. This practical training is vital for developing the competencies needed to deliver high-quality care.
Licensing Examination: After finishing their educational requirements, candidates must successfully pass the NCLEX. This standardized test evaluates the essential knowledge and skills required for safe nursing practice. Understanding how to get a nursing license in Tennessee involves thorough preparation for this examination.
Foreign-Educated Nurses: For those who completed their nursing education outside the US, additional steps are necessary. This includes submitting a Credentials Evaluation Service (CES) report and demonstrating English language proficiency through recognized testing methods.

These requirements are designed to ensure that nursing professionals in Tennessee are well-equipped to address the healthcare needs of their communities. With the projected employment growth rate of 38% for nurse anesthetists, nurse midwives, and nurse practitioners from 2022 to 2032 (US BLS, 2024), the demand for qualified nurses is on the rise.

Applying for a nursing license in Tennessee involves a series of essential steps designed to ensure that candidates meet the necessary qualifications and standards. Below is a breakdown of the application process:

Educational Verification: Applicants must submit an official transcript from their accredited nursing program directly to the Tennessee Board of Nursing. This document verifies that the candidate has completed the required educational training.
Background Checks: A critical component of the application is undergoing fingerprinting and a criminal background check. This step is vital for maintaining the safety and integrity of the nursing profession, as the state requires a clear criminal history for all applicants.
Foreign-Educated Nurses: Those who completed their nursing education outside the US must provide a Credentials Evaluation Service (CES) Professional Report from the Commission on Graduates of Foreign Nursing Schools (CGFNS). Additionally, they must demonstrate proficiency in English through recognized exams, such as IELTS or TOEFL, with new options, including OET and MET, becoming available in early 2024.
Fees: Applicants should be aware of the various fees associated with the licensing process, which can differ based on whether they are applying for an RN or LPN license. It is advisable to consult the fee schedule to ensure all financial obligations are met.

For those interested in pursuing a nursing career, understanding the Tennessee nursing license application process is crucial. Additionally, if you're considering furthering your education, you might want to explore options, such as the cheapest online NP programs available to enhance your qualifications.

How often do you need to renew your nursing license in Tennessee?

In Tennessee, nursing licenses must be renewed every 2 years. This renewal process is essential for maintaining the validity of a nurse's credentials and ensuring that they remain compliant with state regulations. Unlike the initial licensing process, which involves submitting educational transcripts, undergoing background checks, and paying various fees, the renewal process is generally more streamlined.

Key aspects of the renewal process include:

Continuing Education: Nurses are required to complete a specified number of continuing education hours to stay updated on the latest practices and standards in healthcare. This requirement helps ensure that nurses maintain their competency and provide high-quality care. Understanding how to renew a nursing license in Tennessee is crucial, as it involves fulfilling these continuing education requirements.
Fee Payment: Similar to the initial application, renewal involves the payment of fees. Nurses should check the current fee schedule to ensure they submit the correct amount.
Background Checks: While initial applicants must undergo fingerprinting, renewal typically does not require a new background check unless there are specific concerns.

The renewal process is crucial for a nurse's career, as it not only validates their qualifications but also reflects their commitment to professional development. Failing to renew on time can lead to a lapse in licensure, which may hinder job opportunities and professional growth.

A nurse from Tennessee shared her experience with the renewal process, noting that while it can be challenging to gather the required continuing education credits, she found it rewarding. “I remember feeling overwhelmed at first, but as I completed courses on new nursing techniques, I realized how much I was growing in my profession. It felt great to know I was staying current and providing the best care possible to my patients."

For those looking to advance their careers, exploring diverse options, such as the most affordable psychiatric nurse practitioner programs, can be beneficial. These programs can provide additional qualifications and enhance a nurse's ability to provide comprehensive care.

Can a Compact nurse practice in Tennessee?

The Nurse Licensure Compact (NLC) is an agreement that allows RNs, LPNs, and licensed vocational nurses (LVNs) to practice in multiple states with a single license. Enacted in 2000, the NLC aims to enhance the mobility of nurses across state lines. As of October 2023, 39 states have joined the NLC, providing significant benefits such as reduced licensing costs and streamlined processes for nurses who wish to work in different states.

Tennessee became a member of the NLC on July 1, 2020. To practice under the NLC, nurses in Tennessee must hold a multistate license issued by their home state or apply for a Tennessee license if they are not residents. This participation opens up numerous opportunities for Tennessee nurses and enables them to work in other compact states without the need for additional licenses. This flexibility not only enhances career prospects but also addresses workforce shortages in various regions, ultimately benefiting healthcare delivery across the country.

What are the current job market trends for nurses in Tennessee?

In Tennessee, the nursing job market is characterized by an increasing demand for specialized skills and diversified clinical expertise. Healthcare facilities are expanding their services—particularly in telemedicine and community-based care—which is creating numerous opportunities for both emerging professionals and experienced nurses seeking leadership roles. Advanced certifications and targeted academic tracks are increasingly valued, as they align with the state’s evolving healthcare delivery models. For example, pursuing nurse practitioner programs in Tennessee can significantly boost career prospects by preparing nurses for high-demand roles in specialized sectors. Strategic networking, continuous professional development, and staying informed about innovative care practices are essential to navigating Tennessee’s dynamic employment landscape.

How can nurses licensed in other states obtain a license in Tennessee?

Nurses licensed in other states can obtain a Tennessee nursing license through endorsement, a process designed to fasttrack the transition for qualified professionals. To initiate this process, applicants must do the following:

Verify their current nursing license in another state, ensuring it is active and in good standing.
Submit an application for licensure by endorsement to the Tennessee Board of Nursing, accompanied by the required fee.
Provide proof of nursing education, including transcripts from an accredited nursing program.
Complete a criminal background check, which is mandatory for all applicants.

For foreign-educated nurses, additional steps are necessary. They must do the following:

Have their educational credentials evaluated by a recognized credential evaluation service to confirm equivalency to U.S. nursing standards.
Pass the NCLEX, which assesses the knowledge and skills necessary for safe nursing practice.
Demonstrate English proficiency through standardized tests, such as the TOEFL, if applicable.

What are the initial steps to kickstart your nursing career in Tennessee?

To launch a successful nursing career in Tennessee, aligning your educational path with the state’s specific licensure prerequisites is essential. Evaluate accredited programs that balance theoretical learning with hands-on clinical experiences and ensure all non-academic requirements—such as background verifications and immunization records—are addressed efficiently. For a structured roadmap, review how to become a nurse in Tennessee for comprehensive guidance.

What factors influence the cost of LPN programs in Tennessee?

When evaluating LPN programs, financial planning is as important as academic quality. Consider factors such as tuition fees, administrative charges, and the cost of required supplies, which may vary by institution and location. Prospective students should also compare the total expense with available financial aid options, scholarships, and state-specific grant programs. Detailed insights on program expenses and budgeting tips are available via LPN programs cost, ensuring that you can make an informed decision.

What pitfalls should you avoid during the Tennessee nursing licensure process?

Common pitfalls in the Tennessee nursing licensure process—such as incomplete documentation, misinterpreting application guidelines, and missing critical deadlines—can delay your career start. To avoid these issues, verify all requirements in advance, maintain a detailed application timeline, and ensure that every submission meets the Board’s specifications. For professionals considering alternative or complementary healthcare careers, review how to become a licensed pharmacist in Tennessee to explore additional opportunities.

What tips and resources can help you through the licensing exam in Tennessee?

After completing your accredited nursing program, you must familiarize yourself with the Tennessee Board of Nursing’s requirements for licensure. Several tips can ease your journey toward nursing licensure:

Study resources. Utilize NCLEX review books and online practice tests to reinforce your knowledge. Websites, such as UWorld and Kaplan, offer comprehensive question banks that simulate the exam environment.
Join professional organizations. Becoming a member of organizations, such as the Tennessee Nurses Association (TNA), can provide invaluable support. These organizations often offer study groups, networking opportunities, and access to exclusive resources that can enhance your preparation.
Connect with peers. Engaging with fellow nursing students or recent graduates can provide insights and tips that are specific to the Tennessee exam experience. Consider forming study groups or participating in online forums.
Take advantage of workshops and webinars. These may be offered by nursing schools and professional organizations and can provide targeted strategies for tackling the exam and managing test anxiety.

What is the cost of pursuing advanced nursing roles in Tennessee?

For nurses aiming to advance their careers, the financial aspects of pursuing higher education and certifications are a critical consideration. The cost of becoming a nurse practitioner or advancing in specialized roles can vary significantly depending on the program, tuition rates, and associated expenses. In Tennessee, understanding the breakdown of these costs is essential for effective financial planning.

Tuition for advanced nursing degrees typically spans from $15,000 to $50,000 per year, depending on whether the program is at a public or private institution. Additional expenses include clinical placement fees, textbooks, certification exams, and lab materials. Scholarships, grants, work-study opportunities, and employer tuition reimbursement programs can help alleviate some of these financial burdens.

If you're looking for a detailed guide on navigating the financial requirements of advancing your career, be sure to explore this resource on how much does it cost to become a nurse practitioner in Tennessee. It provides comprehensive insights into tuition costs, financial aid options, and value-driven strategies to help you invest in your nursing future smartly.

Balancing the cost with the potential salary increase in advanced nursing roles is a strategic step for Tennessee nurses committed to both professional growth and financial well-being.

What are the best nursing programs available in Tennessee for those looking to pursue a degree in nursing?

When considering a nursing career in Tennessee, it is essential to find a reputable nursing program that meets your educational needs. To find the best nursing schools in Tennessee, you should research accredited institutions that offer a range of nursing degrees, from associate's to doctoral programs. These programs should provide a comprehensive education in nursing theories, practices, and clinical experiences, preparing you for the demands of the nursing profession. Additionally, you should look for programs with experienced faculty, state-of-the-art facilities, and a strong reputation for producing competent and compassionate nurses. By choosing a reputable nursing program, you can set yourself up for success in your nursing career and make a positive impact in the lives of your patients.

What are the career prospects for nurse midwives in Tennessee?

Nurse midwives play an essential role in Tennessee’s healthcare landscape by providing specialized prenatal, labor, and postnatal care. This advanced practice role opens pathways in both clinical and community settings, expanding opportunities for leadership in patient care and health policy development. Review our article on the latest educational requirements for a nurse midwife in Tennessee to identify the specific licensure processes and specialized training options available.

Is an online nursing degree a solid foundation for your Tennessee nursing career?

Online nursing programs provide a flexible alternative for those seeking to balance education with professional and personal responsibilities. Prospective students should ensure that these programs are accredited and meet state-specific criteria for clinical placements and licensure eligibility. Detailed reviews and research on program outcomes can help determine if an online option is credible, as covered in our article Is an online nursing degree credible?, thereby supporting informed decision-making. Evaluating curriculum rigor, student support, and success metrics is essential to confirm that an online pathway will adequately prepare graduates for the clinical and theoretical demands of nursing in Tennessee.

What are the requirements to become a LPN in Tennessee?

Candidates seeking LPN licensure in Tennessee must complete a state-approved practical nursing program and successfully pass the NCLEX-PN, ensuring they meet clinical practice standards. Additional criteria typically include criminal background checks, verified immunization records, and documented clinical experience. For further details on navigating these prerequisites and understanding the application process, review What are the requirements to become a LPN in Tennessee?

What supplemental certifications can enhance your Tennessee nursing career?

Supplemental certifications can broaden your professional scope by diversifying your skills beyond direct patient care. Pursuing specialized credentials in areas such as health informatics, telehealth management, or quality assurance can provide a competitive edge and open doors to leadership or administrative roles. For instance, obtaining a medical billing and coding certification in Tennessee can facilitate a transition into roles focused on healthcare management and revenue cycle oversight. Evaluating each certification's relevance and return on investment is vital to ensuring alignment with your long-term career objectives in Tennessee's evolving healthcare landscape.

How can mentorship and professional networking boost your Tennessee nursing career?

By engaging in professional mentorship and networking, Tennessee nurses can gain access to industry insights, career advice, and job referrals that are pivotal for long-term success. Connecting with experienced professionals through local nursing associations, state conferences, and virtual meetups can provide tailored guidance on navigating the complexities of the healthcare landscape. Additionally, leveraging online resources—such as the top online nursing programs in Tennessee—can offer both educational and networking opportunities, fostering a community of continuous professional growth.

What are the continuing education opportunities for nurses in Tennessee?

Continuing education is essential for nurses to stay current with medical advancements, improve patient care, and fulfill licensure requirements in Tennessee. Here are some key avenues for continuing education available to Tennessee nurses:

Online Courses: Many accredited institutions and platforms offer flexible, online courses on topics like patient safety, new medical technologies, and ethical decision-making in healthcare. This is ideal for nurses balancing busy work schedules.
Workshops and Seminars: Local hospitals, universities, and nursing associations frequently organize hands-on workshops and seminars. These sessions offer valuable practical skills training and updates on best practices, making them highly beneficial for specialized areas of nursing.
Professional Nursing Organizations: Organizations like the Tennessee Nurses Association (TNA) and the American Nurses Association (ANA) provide access to continuing education resources, including webinars, journals, and networking opportunities to help nurses gain specialized knowledge.
Certifications and Advanced Degrees: Pursuing certifications in areas like geriatrics, critical care, or wound management, or advancing education through MSN or DNP programs, can significantly enhance a nurse’s expertise and career prospects.

By participating in these continuing education opportunities, Tennessee nurses can meet their licensure renewal requirements, increase their knowledge, and remain competitive in their field.

Other Things You Should Know about Nursing Licenses in Tennessee

How long does it take to become a registered nurse in Tennessee?

Becoming a registered nurse (RN) in Tennessee usually takes between 2 to 4 years, depending on the educational pathway chosen.

An Associate Degree in Nursing (ADN) usually requires 2 years of study, while a Bachelor of Science in Nursing (BSN) generally takes 4 years.
After completing an accredited program, candidates must pass the NCLEX-RN exam to obtain licensure.
Tennessee also mandates a criminal background check and proof of immunizations as part of the licensing process.

What education is needed to become a registered nurse in Tennessee?

To become a registered nurse (RN) in Tennessee, candidates must complete specific educational requirements. The state mandates that aspiring RNs earn either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN).

An ADN typically takes 2 to 3 years to complete, while a BSN usually requires 4 years.
Both programs must be accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
Graduates must then pass the NCLEX-RN exam to obtain licensure in Tennessee.

How much does a registered nurse make in Tennessee?

In Tennessee, registered nurses (RNs) had a median hourly wage of $36.64 in May 2023 (US BLS, 2024). Notably, salaries in the field of nursing can vary based on education, location, specialization, and experience.

Can you practice as an RN without a license in Tennessee?

In Tennessee, practicing as a Registered Nurse (RN) without a valid license is illegal. The Tennessee Board of Nursing mandates that all RNs must hold an active license to provide nursing care. Engaging in nursing activities without licensure can result in severe penalties, including fines and criminal charges.

The state requires completion of an accredited nursing program.
Candidates must pass the NCLEX-RN exam to obtain licensure.
As of May 2023, Tennessee has approximately 63,460 RNs (US BLS, 2024).

Is it easy to become a registered nurse in Tennessee?

Becoming a registered nurse in Tennessee involves several steps, making the process moderately challenging. Candidates must complete an accredited nursing program, which typically requires 2 to 4 years of education. Following graduation, aspiring nurses must pass the NCLEX-RN exam. Moreover, applicants must undergo a criminal background check and submit proof of immunizations. While the pathway is structured, dedication and preparation are essential for success in this rewarding field.

References

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trustedhealth.com (n.d.). Tennessee Nurse Licensing Guide. https://www.trustedhealth.com/nurse-licensure-guide/tennessee
US Bureau of Labor Statistics. (2024, April 3). May 2023 State Occupational Employment and Wage Estimates, Tennessee. Occupational Employment and Wage Statistics. https://www.bls.gov/oes/2023/may/oes_tn.htm
US Bureau of Labor Statistics. (2024, April 17). Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners. Occupational Outlook Handbook. https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm
US Bureau of Labor Statistics. (2024, April 17). Registered Nurses. Occupational Outlook Handbook. https://www.bls.gov/ooh/healthcare/registered-nurses.htm