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Best LPN Programs in Maryland – Accredited Online LPN Programs for 2025
In 2022, there were around 7,650 licensed practical nurses (LPNs) in Maryland, and the job outlook is bright for these professionals (U.S. Bureau of Labor Statistics, 2023; Projections Central, 2023). Those who are looking to become LPNs and establish healthcare industry careers can do so in the state. They can start with good LPN programs in Maryland. In 2023, there were 10 accredited LPN programs in Maryland (Maryland Board of Nursing, 2023).
Unfortunately, these are not distance learning programs. While there are quality LPN online programs around, they are not provided by Maryland-based institutions. This is quite understandable, given that hands-on training and experience are vital in this line of work.
Nevertheless, the Research.com team has provided a ranked list of the best online LPN programs available to Maryland residents. They are ranked according to the usual metrics like student outcomes, networking opportunities, student services, and faculty expertise, among others. We will also give the best LPN schools in Maryland a mention. Hopefully, you will find this article helpful as you plot your journey to become an LPN in Maryland and, maybe, beyond that.
To become a licensed practical nurse (LPN) in Maryland, you must follow the approved pathway. This involves completing an LPN and taking the NCLEX-PN exam. LPN license requirements in Maryland are regulated by the Maryland Board of Nursing (MBON).
Complete LPN Education Requirements in Maryland: You must possess a high school diploma or a GED. Subsequently, you will need to successfully complete an accredited LPN program. These programs tend to be relatively short in duration. LPN programs in Maryland offer traditional on-campus classes.
Licensing Examination: After you have completed your LPN program, the next step is to pass the NCLEX-PN national licensing examination. This test assesses your nursing knowledge and your readiness to commence your career as an entry-level nurse.
Licensure: Once you successfully pass the NCLEX-PN exam, you will officially obtain your license. It is essential to maintain a current license granted by the Maryland Nursing Board.
What is the typical cost of online LPN programs in Maryland?
Among the best LPN programs in Maryland, the average in-county cost per credit is $144.44. Out-of-county in-state average cost per credit is $236.50, and out-of-state cost per credit is $324.89. Overall, per credit cost ranges from $109.33 to $422. Total tuition for in-county residents is $4,984.67. The figure is $9,270 for in-state but out-of-county students. The average out-of-state total tuition is $14,057.33. Total tuition costs can range from $4,920 to $17,302. Note that there is financial aid for LPN programs in Maryland. Contact your target institutions for inquiries.
Tuition Type
in-county
out-of-county
out-of-state
Average Cost per Credit
$114.44
$236.50
$324.89
Average Total Tuition Cost
$4,984.67
$9,270.00
$14,057.33
How long does it take to become an LPN in Maryland?
To become a licensed practical nurse (LPN) in Maryland, the typical timeframe is approximately one year to one year and six months (12 to 18 months). The duration may vary based on whether you are pursuing full-time or part-time studies. LPN programs encompass clinical practice, laboratory work (which may involve clinical simulations), coursework, and traditional classroom instruction. Note that this is a general estimate; the specific program and institution can influence the exact duration.
Can you become an LPN in Maryland with an online degree?
Yes, you can become an LPN with an online degree in Maryland. There are many online LPN programs available. However, Maryland LPN programs are all taught on campus. Some, however, may offer online courses for theoretical classes. So, contact your target school to see whether online classes are available. If you plan to earn your certificate from online offerings that are not LPN programs in Maryland, you should check whether your target program is approved by the Maryland Board of Nursing (MBON). You can check the program list for that.
If your program is not there, you can forward an assessment tool to your program dean/director. This helps the Board determine whether your LPN certificate is up to standard.
Online LPN Programs in Maryland for 2025
Again, there are no online LPN programs in Maryland. However, the state has great on-campus programs available. To help you figure out which ones can help you jumpstart your career as an LPN, we will provide you with a mix of on-campus and online options. Note that to earn an LPN certificate, one must have practical experience. As such, it is highly recommended to enroll in a program that is close to you or has an accredited practicum opportunity nearby. With input from Research.com expert reviewers, we present the following online and on-campus programs available to Maryland residents.
1. Northampton Community College Hybrid LPN Program
Northampton Community College in Bethlehem, Pennsylvania, offers an LPN program that can be completed in 18 months. The program covers topics such as pharmacology, maternal-child nursing, and mental health nursing. While there are in-person requirements, general education courses can be taken online. The LPN program is approved by the Maryland Board of Nursing.
Program Length: 1 year
Required Credits to Graduate: 44
Cost per Credit: $1,875 (in-county); $2,895 (Monroe County, PA); $3,750 (other PA county); $5,625 (out-of-state/country)
Accreditation: Accreditation Commission for Education in Nursing (ACEN); Maryland Board of Nursing (MBON)
2. ECPI University Hybrid LPN Program (mostly online)
ECPI University in Charleston, SC, offers a practical nursing (PN) program that serves as an introductory pathway to the field of nursing, where licensed practical nurses (LPNs) deliver patient care under the guidance of experienced healthcare professionals. The program encompasses a blend of classroom instruction, laboratory exercises, hands-on simulations, and a focus on evidence-based, client-centered care applicable to various stages of life and diverse healthcare environments. Upon completion of the program and obtaining the diploma, a graduating practical nurse must undergo the NCLEX-PN exam as the final step before becoming eligible to practice as an LPN. The Maryland Board of Nursing (MBON) approves the online LPN program.
Program Length: ~1 year
Required Credits to Graduate: ~45
Tuition Cost: $9,720 per semester
Accreditation: Maryland Board of Nursing (MBON)
3. Wor-Wic Community College Traditional LPN Program
Wor-Wic Community College offers a Practical Nursing Certificate program that prepares graduates for jobs as licensed practical nurses (LPNs). The curriculum includes courses such as Nursing Fundamentals, Introduction to Nursing Pharmacology, Adult and Mental Health Nursing, and Maternal-Child Nursing. It is one of the most popular LPN programs in Maryland, judging by student population. The institution has the highest NCLEX-PN pass rate in Maryland at 100% in 2022, with 25 out of 25 first-time takers passing.
Program Length: 12-18 months
Required Credits to Graduate: 41
Cost per Credit: $129 (in-county); $258 (out-of-county); $323 (out-of-state)
Accreditation: Accreditation Commission for Education in Nursing (ACEN)
4. Anne Arundel Community College Traditional LPN Program
Anne Arundel Community College provides a Practical Nursing Certificate program that prepares the graduate to assume responsibilities of patient care in hospitals and similar facilities within the scope of the defined functions of the practical nurse. It has been one of the go-to Maryland LPN schools for a while. It also had a 100% NCLEX-PN pass rate in 2022, with 23 out of 23 first-time takers passing the exam.
Program Length: 12-18 months
Required Credits to Graduate: 41
Cost per Credit: $124 (in-county); $241 (out-of-county); $422 (out-of-state)
Accreditation: Accreditation Commission for Education in Nursing (ACEN)
5. Hagerstown Community College Traditional LPN Program
Hagerstown Community College offers a highly reputable LPN program in Maryland. It boasts a 92.59% pass rate in the NCLEX-PN exam in 2022, with 25 out of 27 of its first-time takers passing. Graduates are known to be very flexible, excelling in various healthcare settings—from home health to long-term care facilities. This 16-month program prepares students thoroughly for the NCLEX-PN exam, making it one of the best LPN programs in Maryland.
Accreditation: Accreditation Commission for Education in Nursing (ACEN)
Is Maryland good for LPNs?
So, is Maryland a good state for LPNs? If you take its projected growth rate as the main indicator for job stability, the LPN job outlook in Maryland is bright. The projected job growth rate is at 16.1% for 2020 to 2030 (Projections Central, 2023). Estimated annual job openings for the occupation are also at a high of 1,220 during the same period. This is nearly 16% of the whole workforce in 2022 (Projections Central, 2023; U.S. Bureau of Labor Statistics, 2023). LPN salary in Maryland, however, is another story.
Job Salary Expectations for LPNs in Maryland
The annual average salary for LPNs in Maryland was $60,180 in 2022 (U.S. Bureau of Labor Statistics, 2023). This is $9,570, short of the average annual wage of all occupations in the state. This is the lowest among different kinds of nurses in the states. The highest-paid nurse occupation in 2022 in Maryland is a nurse anesthetist at $182,710 per year. This is followed by nurse midwives ($120,170), nurse practitioners ($119,650), and registered nurses ($87,990).
What can I do with an LPN certification in Maryland?
There are many things that you can do with an LPN certification. First and foremost, it will allow you to practice as a practical nurse in the state. Secondly, perhaps more importantly, it provides a good foundation for pursuing nursing degrees. But what are the different types of nursing degrees and levels after an LPN? You can consider straightforward pathways like LPN to RN and LPN to BSN.
Your LPN certification can help you earn prerequisites to study as a nursing major. After that, you have more opportunities. You can proceed to graduate studies for advanced clinical certifications and licenses. You can also go for the administrative track. In fact, there are many MSN degree online options around. You can find some quality online-heavy PhD programs as well. So, it is really up to you. An LPN certification is a good entry point to healthcare. If you are up to it, there is upward mobility in healthcare for hardworking and ambitious individuals.
How to Transition from MA to LPN in Maryland
Medical Assistants (MAs) looking to enhance their career opportunities in healthcare can transition to becoming Licensed Practical Nurses (LPNs) through specialized bridge programs. This transition not only increases earning potential but also broadens the scope of practice, allowing MAs to take on more advanced responsibilities in patient care.
Bridge programs, such as the MA to LPN Bridge Program Online, are tailored to healthcare professionals with prior experience. These programs often recognize existing medical knowledge, enabling students to complete their education in a shorter timeframe compared to traditional LPN programs. For instance, students may bypass introductory courses and focus directly on advanced nursing concepts and clinical rotations.
In Maryland, while fully online LPN programs are not available, hybrid options allow MAs to complete theoretical coursework online while fulfilling hands-on clinical requirements at accredited healthcare facilities. This flexible format enables working professionals to balance their studies with employment.
Transitioning from MA to LPN offers numerous benefits, including eligibility for leadership roles, access to specialized certifications, and the ability to pursue further education, such as RN or BSN degrees. This pathway is ideal for MAs looking to expand their impact in the healthcare field while advancing their professional growth.
What are the next steps after becoming an LPN in Maryland?
After becoming an LPN in Maryland, you may consider advancing your education and career by pursuing higher degrees or certifications. One potential next step could be to explore the best nurse practitioner programs in Maryland to further specialize in a particular area of nursing. This can lead to enhanced job prospects, increased earning potential, and a broader range of responsibilities in the healthcare field.
What are the admission requirements for LPN programs in Maryland?
Proactive applicants should meet a series of academic and professional prerequisites before enrolling in an LPN program. Typically, candidates must hold a high school diploma or GED and demonstrate proficiency in foundational subjects, particularly in basic science and math. Institutions often require submission of official transcripts and evidence of prerequisite coursework, along with a valid CPR certification. Some schools mandate up-to-date immunizations, a recent TB test, and a clean background check. Additionally, candidates transitioning from clinical roles, such as medical assisting, may be asked to provide documentation of previous healthcare experience or academic credits. For those considering a pathway that might offer credit for prior learning, reviewing the best medical assistant programs in Maryland can provide insights into compatible qualifications and potential credit transfers.
Which additional nursing certifications can elevate my LPN career?
Earning supplementary certifications provides LPNs with a competitive edge and can broaden clinical expertise without committing to a full degree program. Targeted credentials in areas such as gerontology, wound care, or IV therapy refine practical skills and can signal advanced competence to employers. These specialized qualifications not only help in enhancing patient care but also contribute to career mobility and potentially higher wages. For more detailed information on recognized programs and certification options, consider exploring nursing certifications.
What are the key benefits of an LPN program in Maryland?
When considering pursuing an LPN program in Maryland, it's essential to understand the advantages that the state offers to aspiring practical nurses. Here are several benefits of enrolling in an LPN program in Maryland:
High Demand for LPNs: Maryland's healthcare sector is experiencing rapid growth, especially in nursing. With a projected 16.1% job growth for LPNs from 2020 to 2030, the state is one of the best places to pursue a nursing career. This growth ensures numerous job opportunities for LPNs across various healthcare settings.
Accredited Institutions: Maryland is home to several accredited institutions offering high-quality LPN programs. These programs are well-regarded by employers and provide students with the skills needed for successful careers. Institutions like Wor-Wic Community College, Anne Arundel Community College, and Hagerstown Community College are known for their rigorous training and high NCLEX-PN pass rates.
Competitive Salaries: The average salary for LPNs in Maryland is around $60,180, which is higher than the national average. This makes the profession financially rewarding, particularly for those with experience or those working in specialized fields.
Pathways to Further Education: Many LPN programs in Maryland offer pathways for continued education, allowing graduates to pursue RN or BSN degrees. Additionally, specialized bridge programs can help LPNs transition into advanced roles, such as nurse practitioners or clinical specialists.
Hands-On Training: Although many states offer online options, Maryland's LPN programs are predominantly on-campus. This ensures that students receive valuable hands-on training, which is essential in the nursing field. Clinical placements and practical experiences enhance the skills required for real-world nursing scenarios.
Flexible Learning Options: For those already working in healthcare or with other commitments, hybrid programs offer flexibility by allowing some coursework to be completed online, while still providing the hands-on clinical training necessary to become a skilled LPN.
Maryland’s LPN programs offer a combination of strong career prospects, excellent educational opportunities, and a supportive environment for those seeking to build a fulfilling nursing career. The easiest LPN program to get into might vary by location and personal circumstances, but with careful consideration, aspiring nurses can find the right fit for their career goals.
What are the career growth opportunities for LPN graduates in Maryland?
Completing an LPN program in Maryland opens doors to numerous career advancement opportunities in the nursing field. While working as a Licensed Practical Nurse is a rewarding career in itself, many individuals use this role as a stepping stone toward advancing their qualifications and responsibilities in healthcare.
One common pathway is transitioning from an LPN to a Registered Nurse (RN) through bridge programs, which streamline the educational process by recognizing prior LPN coursework and clinical experience. Becoming an RN not only diversifies your responsibilities but also significantly increases earning potential. For more guidance, refer to this resource on how to become a registered nurse in Maryland.
Additionally, LPNs with an interest in specialized roles can pursue certifications in areas such as gerontology, IV therapy, or wound care. These certifications enhance their expertise and make them more competitive in specialized healthcare settings. Furthermore, continuing education programs and professional development workshops often provide the skills necessary to take on leadership roles, such as becoming a Charge Nurse or a Nurse Manager.
For those aiming even higher, education advancement options such as LPN-to-BSN or LPN-to-MSN programs allow LPNs to explore administrative, educational, or advanced practice roles. These career paths not only expand professional horizons but also contribute to addressing the growing demand for skilled nursing professionals in Maryland’s healthcare system.
By leveraging these opportunities, LPNs can enjoy a dynamic and upwardly mobile career trajectory while making a meaningful impact in the healthcare field.
What are the Maryland Nursing License Requirements?
Understanding the specific regulatory prerequisites is crucial for aligning your educational pathway with professional practice in Maryland. Prospective LPNs must complete an approved curriculum that includes comprehensive clinical training and meet academic standards, including a high school diploma or GED. In addition, candidates need to fulfill immunization and background check requirements and successfully pass the NCLEX-PN exam. Reviewing the detailed Maryland nursing license requirements will provide up-to-date procedural insights and documentation standards essential for compliance with state regulations.
Online vs. On-Campus LPN program: Which one suits you best?
Pursuing an online or on-campus LPN program often depends on your needs and circumstances. Online programs offer flexibility, allowing you to study from home and maintain existing commitments. In contrast, on-campus programs provide in-person instruction and the structure of traditional classroom learning. Another important consideration to take is the cost.
So, how much does nursing school cost in the United States? You will see that a good chunk goes to on-campus and in-person requirements. Online programs offer students a way to offset that cost while offering flexibility. Online programs can save you money on commuting and housing expenses. Note, however, that because practical nursing is a hands-on trade, there really are no quality purely online programs. In-person experience is a vital part of the training. Weighing these factors and reflecting on your preferences should help you determine which option suits you best.
What Are the Continuing Education and Renewal Requirements for LPNs in Maryland?
Licensed practical nurses in Maryland must complete state-mandated continuing education units (CEUs) during each licensing cycle to ensure their clinical skills and professional knowledge remain current. Requirements typically include specific hours in key areas such as patient safety, regulatory updates, and emerging clinical practices. Applicants should verify renewal deadlines, documentation procedures, and approved course providers with the Maryland Board of Nursing to ensure compliance. Leveraging continuing education to bridge advanced roles can enhance career progression; learn more about strategic pathways by reviewing how to become a nurse practitioner in Maryland.
How Can Professional Networking Impact LPN Career Success in Maryland?
Professional networking is an essential catalyst for career advancement for LPNs in Maryland. Establishing valuable connections through local healthcare associations, mentorship programs, and professional events can provide insights into evolving industry trends and open doors for career opportunities beyond traditional roles. Attending workshops, conferences, and community meetings also supports knowledge sharing and can guide LPNs toward specialized training paths tailored to the demands of Maryland’s healthcare market. For instance, engaging with academic communities linked to the best nursing schools in Maryland can enhance access to continuing education and emerging practice innovations, ultimately fortifying career resilience and progression.
What Steps Can LPNs Take to Pursue a Nurse Midwife Role in Maryland?
Licensed Practical Nurses interested in expanding their professional scope into advanced maternal health can consider the nurse midwife pathway. Transitioning into this role involves meeting additional educational requirements and gaining specialized clinical experience in women's health and reproductive care. LPNs should evaluate bridge programs that recognize their clinical experience and offer targeted preparation for advanced certifications. It is essential to review the nurse midwife education requirements in Maryland to understand prerequisite coursework, clinical training hours, and certification processes. Engaging with academic advisors and professional organizations can also provide tailored guidance and support for a successful transition into nurse midwifery.
Can LPN Credentials Open the Door to Nutrition Careers in Maryland?
Leveraging clinical experience in Maryland’s dynamic healthcare environment can provide LPN professionals with a pathway into the nutrition field. Integrating foundational nursing skills with targeted nutrition training enhances holistic patient care while expanding career options into areas such as wellness coaching, dietary planning, and preventative health strategies. For professionals considering a shift or addition to their expertise, exploring specialized coursework and certification in nutrition can be a strategic move. Learn more about the transition by visiting how to become a nutritionist in Maryland.
How Can LPNs Transition Directly to Nurse Practitioner Roles?
For LPNs aiming to broaden their scope of practice without the lengthy traditional pathway, some accelerated options offer a streamlined transition to advanced roles. Experienced LPNs may leverage their clinical background by enrolling in an accelerated program that emphasizes advanced clinical reasoning, comprehensive coursework, and intensive clinical rotations. Such programs are specifically designed to build on existing practical skills and prepare candidates for the heightened responsibilities of a nurse practitioner. To explore an optimal pathway, consider reviewing a nurse practitioner accelerated program that aligns with your career goals and meets state licensure requirements.
What Are the Common Challenges for LPNs in Maryland?
In Maryland’s evolving healthcare landscape, LPNs encounter several challenges that require strategic planning and adaptability. Regulatory compliance poses one significant hurdle as candidates must navigate state-specific licensing protocols and sustain up-to-date certifications. Moreover, the heavy emphasis on hands-on clinical training limits program flexibility, impacting those who seek alternative learning formats. Financial constraints remain a concern as tuition and ancillary costs may challenge prospective students. Balancing work, study, and clinical rotations also adds to the complexity of pursuing an LPN career. For detailed guidance on the certification process, refer to our article on how to become a certified LPN in Maryland.
Key Insights
Pathway to LPN in Maryland: To become an LPN in Maryland, you must complete an accredited LPN program, pass the NCLEX-PN exam, and obtain licensure from the Maryland Board of Nursing (MBON).
Cost of LPN Programs: The average cost per credit for LPN programs in Maryland varies: $114.44 for in-county, $236.50 for out-of-county in-state, and $324.89 for out-of-state students. Total tuition costs range from $4,920 to $17,302.
Program Duration: Completing an LPN program in Maryland typically takes 12 to 18 months, depending on whether you are enrolled full-time or part-time.
Online LPN Programs: Maryland does not offer fully online LPN programs due to the hands-on nature of the training. However, some theoretical courses may be available online through hybrid programs.
Job Outlook and Salary: The job outlook for LPNs in Maryland is positive, with a projected growth rate of 16.1% from 2020 to 2030. The average annual salary for LPNs in Maryland was $60,180 in 2022.
Career Opportunities: With an LPN certificate, you can work as a practical nurse in various healthcare settings and pursue further education to become an RN or BSN. It also opens pathways to advanced nursing degrees and administrative roles.
FAQ
How do I become an LPN in Maryland?
To become an LPN in Maryland, you need to complete an accredited LPN program, pass the NCLEX-PN licensing exam, and obtain licensure from the Maryland Board of Nursing.
What is the cost of LPN programs in Maryland?
The cost of LPN programs in Maryland varies depending on your residency status. In-county students pay an average of $114.44 per credit, out-of-county in-state students pay $236.50 per credit, and out-of-state students pay $324.89 per credit. Total tuition ranges from $4,920 to $17,302.
How long does it take to complete an LPN program in Maryland?
Completing an LPN program in Maryland typically takes 12 to 18 months, depending on whether you are enrolled full-time or part-time.
Can I become an LPN in Maryland with an online degree?
While fully online LPN programs are not available in Maryland, some hybrid programs offer online courses for theoretical classes. Practical training, however, must be completed in person.
Is Maryland a good state for LPNs?
Yes, Maryland is a good state for LPNs due to a positive job outlook with a projected growth rate of 16.1% from 2020 to 2030 and numerous job opportunities in various healthcare settings.
What kind of salary can I expect as an LPN in Maryland?
The average annual salary for LPNs in Maryland was $60,180 in 2022. This salary can vary based on experience, location, and the healthcare facility where you work.
What career opportunities are available with an LPN certificate in Maryland?
An LPN certificate allows you to work as a practical nurse in hospitals, clinics, long-term care facilities, and other healthcare settings. It also provides a foundation for pursuing further education to become an RN or BSN and opens pathways to advanced nursing degrees and administrative roles.
What are the best LPN programs in Maryland?
Some of the best LPN programs in Maryland include those offered by Northampton Community College, ECPI University, Wor-Wic Community College, Anne Arundel Community College, and Hagerstown Community College.
What should I consider when choosing between online and on-campus LPN programs?
When choosing between online and on-campus LPN programs, consider factors such as flexibility, cost, learning preferences, and the requirement for hands-on practical training. Online programs offer flexibility and potential cost savings, but practical nursing requires in-person experience.
Can I transfer credits from other institutions to my LPN program in Maryland?
Many LPN programs in Maryland accept transfer credits from other accredited institutions, especially for general education courses. It is important to check with your target program to understand their specific credit transfer policies.
How long does it take to be an LPN in Maryland?
To become an LPN in Maryland, it typically takes 12 to 18 months to complete a state-approved LPN program. These programs, offered at community colleges and vocational schools, combine classroom instruction with clinical practice.
After finishing the program, you’ll need to pass the NCLEX-PN exam, which can take an additional 1 to 3 months for preparation and scheduling. Once you pass, you must apply for licensure with the Maryland Board of Nursing, a process that takes 2 to 6 weeks.
In total, the path to becoming an LPN in Maryland generally takes 13 to 24 months.
How much does LPN school cost in Maryland?
The cost of LPN school in Maryland can vary depending on the institution, but typically ranges from $8,000 to $15,000 for the entire program. This cost generally includes tuition, fees, and supplies such as textbooks, uniforms, and medical equipment.
Here’s a more detailed breakdown:
Tuition: Tuition alone usually falls between $7,000 and $12,000 for most LPN programs.
Additional Costs: Students should also budget for additional expenses like books, uniforms, and licensing exam fees, which can total around $1,000 to $3,000.
Financial aid, scholarships, and grants may be available to help reduce these costs. It’s important to check with specific schools for exact pricing and financial aid options.
How much do LPN get paid hourly in Maryland?
In Maryland, Licensed Practical Nurses (LPNs) typically earn an hourly wage between $25 and $30. This rate can vary depending on factors such as experience, location, and the type of healthcare facility.
On average, LPNs in Maryland earn about $28 per hour, which is higher than the national average for LPNs. More experienced LPNs or those working in specialized areas may earn closer to the upper end of the pay scale.
What's the fastest you can get your LPN?
The fastest way to become a Licensed Practical Nurse (LPN) is through an accelerated LPN program, which can be completed in as little as 9 to 12 months. These programs are typically full-time and intensive, combining both classroom instruction and clinical practice.
To speed up the process, some students may take prerequisites in advance or choose programs that offer year-round courses without long breaks. Additionally, passing the NCLEX-PN and completing the licensure process quickly, usually within 1 to 3 months, can further expedite becoming an LPN.
In the best-case scenario, the entire process can take about 12 to 15 months from start to finish.