The Multistate NPSearch

New license planner

Build an itemized budget for an additional state NP license: board fees, verification, background checks and the items you still need to price.

Maintained by Nehemiah K. Ingram, DNP, FNP-CFees audited October 4, 2026Next review December 21, 2026Before you applySources and methods

Informational guidance only. Confirm current requirements with the appropriate licensing authority before applying, renewing or practicing. Read the disclaimer

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Tennessee

Base fees reviewed
September 21, 2026
Targeted audit
October 4, 2026

Answer these before the fees

4 of 4 unanswered. Fees that depend on these answers are held back, so the budget does not list every possible charge.

Application route and documents

Quantities start at one transcript order and one physical card unless a documented state route says otherwise; some boards ask for two cards or several school records. $0–$20 per transcript order and $10–$20 per card are planning allowances; no state publishes a single statewide fee for them. Processing, special delivery and rush services are separate. A background reference amount may cover processing only; if a vendor quotes one total, enter it once and exclude any line it already covers.

Itemized budget

Published references, dated receipts, allowances and your quotes are labeled separately. Unresolved items are excluded from the subtotal. Open details for caveats, evidence and sources.

The itemized fees appear once the 4 questions above are answered. Your answers decide which charges apply, so nothing is totaled for Tennessee yet.

License verification stays unresolved until you add your issuing states under Licenses you already hold, or enter a total quote on the verification line.

Renewal cost is not included in the total. Where the renewal fee is verified it appears in the summary above; check the state board for the cycle and continuing education before deciding what this license will cost to maintain.

Verification requests for Tennessee0 selected

Standard-route planning: no separate other-state APRN verification request appears in the complete published requirements. This is a checklist-based inference, not an explicit waiver. The full APRN application instruction sheet requires national certification, graduate transcript, current RN copy and citizenship documents; criminal records are conditional. RN endorsement instructions request the originally licensed state.

APRN verification evidence (opens in a new tab)RN verification evidence (opens in a new tab)Official application reference (opens in a new tab)

Evidence
checklist-based
Checked
October 4, 2026

These rules apply to additional-state / endorsement planning; first-license scope needs separate review.

Add every current and past issuing state under Licenses you already hold to calculate requests. Enter a total verified quote only if it covers every request this destination requires.

Practice context in TennesseeRestricted: physician relationship

The joint nursing and medical-board rules require supervision and written clinical protocols for certified NP/prescription writers.

Prescribing

Prescribing requires a certificate of fitness, the supervising physician information and a formulary. Controlled substances require DEA authorization.

State conditions

Supervision does not mean the physician must be continuously on site, but availability and the rule’s review requirements apply. No experience-hours route to removing this relationship is stated in these rules.

Practice checked September 20, 2026. See the full practice reference for source limitations. Tennessee Boards · Rules 0880-06-.01 and -.02 (opens in a new tab)

Also weigh employer demand, your population focus, collaboration availability, renewal costs and CE workload. Population alone cannot tell you which license will pay for itself.

Shared and federal costs, counted once

$0–$99

3 questions not answered; left out of the total.

Added once to the combined plan. Existing licenses, certifications and DEA registrations are sunk costs, so include only new expenses.

Not answered yet; left out of the total. Number of registrations at $888 each (three-year). Enter 0 if none.
Not answered yet; left out of the total. New specialty or first-credential quote only. Enter 0 if none.
Not answered yet; left out of the total. Your estimate for costs paid once. Enter 0 if none.

One $0–$99 short-course reserve across the entire plan, not per state. The low end assumes requirements already satisfied or accepted free courses; $99 uses the published annual Unlimited Plus CE package as a planning example. Check each course’s topic, hours and board acceptance. State-specific exams already listed remain separate. Formal graduate, remedial, clinical or re-entry training is outside this reserve: enter its actual additional cost under Other Shared Costs. This is not a guarantee that one package satisfies every state. CE price example (opens in a new tab)

The correct number of DEA registrations depends on your practice locations and applicable exceptions; this page does not assume one per state. DEA fee regulation (opens in a new tab) NPDB subscription (opens in a new tab)

APRN verification outside Nursys

Tennessee reports APRN records to Nursys, so a separate direct-board APRN request is not in this table. Show all states to compare the boards that do not.

How to read this table

The Nursys participation tables list no APRN reporting for the states below, checked September 21, 2026. All 51 jurisdictions in this calculator report RN records to QuickConfirm; that does not establish acceptance of a particular verification service. QuickConfirm table (opens in a new tab) Endorsement table (opens in a new tab)

One $30 Nursys request can cover RN and participating APRN records. NCSBN says to select RN and that participating APRN records are included at no extra charge. Direct requests may still be needed for nonparticipating boards or additional information required by the destination. West Virginia also directs APRN requests to its board and is routed separately in the calculator. Service guidance checked October 4, 2026; the participation snapshot retains its own date because the live table could not be re-read during that review. NCSBN APRN instructions (opens in a new tab)

RN endorsement verification through Nursys is $30 for each destination state. A separate APRN request may add a fee even when the same board issues both credentials. California’s direct-board request bundles its RN and advanced-practice records; the calculator counts that bundle once.

Background check and fingerprint references

Background processing routes, fees and additional capture charges by destination
Destination and routeProcessing referenceCapture and conditions
TennesseeTennessee electronic fingerprints$37.15Published feeOfficial state service fee
Source note

Published in-state processing reference: $37.15. Confirm whether your vendor quote includes capture and enter only additional charges. Processing source (opens in a new tab)

Additional capture: $10–$20 card-capture planning allowance. Ask the provider to separate local capture, remote service, card conversion and delivery from processing. Enter a full bundle once.

TennesseeOut-of-state card scanNot priced
Source note

Out-of-state card-scan instructions are published, but the current all-in processing quote was not established. Obtain the registration quote, local capture and mailing costs. Processing source (opens in a new tab)

Additional capture: $10–$20 card-capture planning allowance. Ask the provider to separate local capture, remote service, card conversion and delivery from processing. Enter a full bundle once.

How to read this table

Compare the documented routes below, then select the route in your state budget. A processing fee may exclude collection, card conversion, out-of-state service or postage. A missing price means the cost or applicability is unresolved; it does not mean the check is free. Only reuse an earlier check when the receiving board explicitly accepts it.

Use the receiving board’s profession and service code when requesting a quote. Ask what the total includes, whether remote enrollment changes the price, and how rejected prints are handled. School transcripts depend on your actual programs and delivery choices. Budget only unmet education and applicant-specific extras. None has a universal state-level price.

Building a license portfolio for telehealth

For multistate telehealth work, a portfolio of roughly 5–10 strategically chosen active NP licenses can make you a fit for more employers: you can see patients in more jurisdictions and meet more employers’ licensing requirements. Treat that range as a practical expansion strategy, not a proven optimal number or a hiring threshold.

Why additional licenses can help

  • More patients you can see. Each active NP license adds a jurisdiction where you can treat patients, which matters to employers staffing visits across many states.
  • More postings you match. Many telehealth postings name the states they need. Holding those states makes you eligible for more of those roles.
  • Which states matters as much as how many. Some employers accept fewer licenses; others ask for more than ten. A few well-chosen states can do more than many unrequested ones.

A license expands eligibility. It does not guarantee an offer, patient volume, higher pay or completed credentialing. Employers also weigh your specialty, experience, prescribing authority, the practice conditions in each state and where you live.

Counting your licenses

Count the distinct states where you hold an active NP (APRN) license. An RN license and an NP license in the same state cover one state, not two.

RN compact (NLC) privileges do not give NP authority in any state.

States requested by employers in our review

From 11 telehealth employers’ own postings and recruiting pages for urgent care, primary care, general telehealth and weight-management roles, checked October 14, 2026. A small sample that shows examples, not a national ranking. Postings that give a number asked for anywhere from at least 3 to 30 or more licenses.

States named by telehealth employers in our review, with the number of distinct employers naming each state in active postings and in recruiting guidance. Ordered by number of employers; not a ranking of states.
StateActive postingsRecruiting guidanceHow it is namedEmployersAction
New York61Required by 1; one of a required list for 3; preferred by 4OpenLoop (opens in a new tab), K Health (opens in a new tab), Ro (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab), Tia (opens in a new tab), Vida Health (opens in a new tab)Plan this license: New York
California51One of a required list for 3; preferred by 4OpenLoop (opens in a new tab), Florida Telehealth Medical Group (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab), Tia (opens in a new tab), Vida Health (opens in a new tab)Plan this license: California
Florida41Required by 1; one of a required list for 2; preferred by 2OpenLoop (opens in a new tab), K Health (opens in a new tab), Ro (opens in a new tab), SteadyMD (opens in a new tab), Vida Health (opens in a new tab)Plan this license: Florida
Illinois41Required by 1; one of a required list for 4; preferred by 1OpenLoop (opens in a new tab), Florida Telehealth Medical Group (opens in a new tab), Ro (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab)Plan this license: Illinois
Arizona4NoneOne of a required list for 3; preferred by 1Ro (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab), Tia (opens in a new tab)Plan this license: Arizona
Texas31One of a required list for 1; preferred by 3OpenLoop (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab), Vida Health (opens in a new tab)Plan this license: Texas
Virginia4NoneRequired by 1; one of a required list for 2; preferred by 1K Health (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab), Vida Health (opens in a new tab)Plan this license: Virginia
Maryland3NoneOne of a required list for 2; preferred by 1SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab), Vida Health (opens in a new tab)Plan this license: Maryland
Michigan3NoneOne of a required list for 2; preferred by 1Ro (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab)Plan this license: Michigan
North Carolina21One of a required list for 1; preferred by 2OpenLoop (opens in a new tab), SteadyMD (opens in a new tab), Teladoc Health (opens in a new tab)Plan this license: North Carolina
New Jersey2NoneRequired by 1; one of a required list for 1K Health (opens in a new tab), Teladoc Health (opens in a new tab)Plan this license: New Jersey
Colorado1NoneOne of a required list for 1Teladoc Health (opens in a new tab)Plan this license: Colorado
Massachusetts1NoneRequired by 1K Health (opens in a new tab)Plan this license: Massachusetts
Nevada1NoneOne of a required list for 1Teladoc Health (opens in a new tab)Plan this license: Nevada
Pennsylvania1NonePreferred by 1Vida Health (opens in a new tab)Plan this license: Pennsylvania
Tennessee1NoneOne of a required list for 1SteadyMD (opens in a new tab)Plan this license: Tennessee
Washington1NoneOne of a required list for 1Teladoc Health (opens in a new tab)Plan this license: Washington
How we reviewed employers, license counts and specialty roles

Reopened the three seed sources, then pulled full posting text from public ATS APIs (Lever, Greenhouse, Ashby, Workable, Workday CXS) for ~90 telehealth company slugs and from leads found by web search (standard mode). Only states that the posting or guidance text explicitly names as required, preferred, or high-demand were recorded. Syndicated duplicates and per-shift variants were collapsed, and closed or unverifiable leads went to excludedLeads.

How many licenses employers ask for

  • OpenLoop, Telehealth nurse practitioner recruiting guidance: “3-5 state licenses”
  • Everlywell, Nurse Practitioner (contract): “Valid Nurse Practitioner license in at least 15 states.”
  • Florida Telehealth Medical Group, Part Time Telemedicine Nurse Practitioner: “Active NP licenses in 15+ additional/minor states (alternative to CA or IL)”
  • Florida Telehealth Medical Group, Telemedicine Nurse Practitioner (EVENING/NIGHT SHIFT REQUIRED): “Holds 6 or more active NP state licenses with prescriptive authority. (preferred)”
  • Included Health, Urgent Care Nurse Practitioner: “Ideal candidates will hold five or more active state licenses. / Active multi-state licensure (5+ licenses preferred)”
  • Included Health, Virtual Primary Care Nurse Practitioner: “Multi-state licensure highly preferred”
  • LumiMeds, Nurse Practitioner (Weight Management & Metabolic Health)/ +15 licences: “Minimum of 15 active, unrestricted state licenses required (30+ state licenses strongly preferred)”
  • LumiMeds, Telehealth Nurse Practitioner (FNP/AGNP) – Weight Management & Metabolic Health: “Active licensure in 30+ U.S. states (required)”
  • Ro, Virtual Nurse Practitioner (1099 Contractor): “A minimum of 11 state licenses in Independent Practice States”
  • SteadyMD, Nurse Practitioner (Remote) - 1099, majority async: “Active Nurse Practitioner (NP) license in at least 5 states”
  • SteadyMD, Nurse Practitioner (Remote, Full-time): “Active Nurse Practitioner (NP) license in at least 30 states”
  • Teladoc Health, Nurse Practitioner, 24/7 Care (1099): “Candidates must hold active, unrestricted licensure in a minimum of four (4) states at the time of hire.”
  • Teladoc Health, Staff Nurse Practitioner, Primary Care: “Must hold Nurse Practitioner licensure in at least 3 states at time of interview.”
  • Teladoc Health, Urgent Care Nurse Practitioner (Full Time): “Must hold four active state license with full practice and prescriptive authority”
  • Tia, Nurse Practitioner / Physician Assistant - Full Spectrum Primary Care - Remote - Talent Community: “active, unrestricted license in one or more states where Tia provides care”
  • Vida Health, Nurse Practitioner (Prescribing, virtual obesity/cardiometabolic care): “10+ states”
  • Midi Health, Nurse Practitioner - [State] License (per-state postings): “Multiple active state licenses”
  • Teladoc Health, Staff Nurse Practitioner, Mental Health: “Must hold two independent, active state licenses”

Specialty roles, not counted in the table

Sources

We counted a state only when an employer named it as required, as one of a list of states that meets a requirement (for example, “at least two of” a list), or as preferred or high-demand, once per employer per state, and kept active postings separate from recruiting guidance. States an employer merely serves, job locations, salary, population and practice authority were not counted as demand. Closed or redirected postings and specialty-only roles (for example, psychiatric NP roles) are excluded from the counts. Employer wording such as “independent practice states” is the employer’s, not a legal classification; see practice authority for each state’s rules.

Sample: 15 employers with open postings and 1 with recruiting guidance. Postings change often; reopen the source before relying on it.

How to choose your next licenses

  1. List the roles you would actually take, and note the states those postings require or prefer.
  2. Favor states that appear across several employers you are targeting, not just one.
  3. Check practice conditions. A collaboration agreement or transition period can limit what a new license lets you do at first.
  4. Price the first year and every renewal, and keep the licenses you can afford to maintain.
  5. Apply first for what a written offer requires, then for states that are only preferred.

Price and review those states

Before you apply

Your target work, existing credentials and budget should set the order of applications. Four decisions to settle before paying a board fee.

Open my licensesCheck practice authorityReview application requirements

  1. Separate credentials from permissions

    An RN license, APRN authority and prescribing approval answer different questions. An RN multistate license does not supply APRN authority in every compact state.

    Record for each target state: RN license or privilege, APRN credential, national certification, prescribing approval and any collaboration or experience condition. Mark each confirmed, needed or not applicable, with the official source and the date checked. NLC: RN compact eligibility and APRNs

  2. Give every license a job

    A license has value when it supports work you can realistically obtain and maintain. Write the employer or practice plan, patient population and anticipated start date next to each proposed state.

    Ask the employer: is the credential required before the interview, the offer or the first patient? What is reimbursed, and does reimbursement carry repayment terms? Sort states into apply now, clarify first and hold. Fund a written offer’s requirement before a state that is only preferred.

  3. Budget the first year and the renewal cycle

    Application fees alone understate the cost. The planner above prices the initial application; renewal fees, CE, collaboration fees and other ongoing obligations need a separate maintenance list with actual due dates.

    Keep visible: who pays each item, a contingency for documents that must be reordered, and the difference between verified board fees and your own estimates. Revisit unused licenses at renewal using their full recurring cost.

  4. Sequence applications around real dependencies

    Each board sets what it needs before submission, approval and prescribing. Record its prerequisites and whether it asks for original, current, all held or previously held licenses; RN verification and advanced-practice verification are separate requests.

    Plan the order: run independent tasks together (transcripts, fingerprints) and put approvals that depend on an earlier license on the timeline. Read each application’s update obligations and disclose every required license and change; do not assume one board’s process applies nationally.

References and methodology

This is an expansion budget for a U.S. NP who already holds at least one NP license and the required RN authority. Published fees, dated evidence, planning allowances, user-entered quotes and unresolved costs remain distinct. The planning range is not a statistical confidence interval or a guaranteed maximum. State rules and population data are stored in the site; opening this page does not trigger a new source lookup.

Base application fee coverage: 51 / 51 jurisdictions, including DC. Coverage establishes at least one standard route. Other routes and costs may apply. Reconfirm current checkout amounts.

Additional official-source findings and the complete APRN verification and fingerprint reference tables remain available in the reference sections above. Base fee review: September 21, 2026. Targeted fee and verification audit: October 4, 2026. Next fee review: December 21, 2026.

Renewal fees, ongoing CE, ongoing collaboration fees, malpractice and business operating costs are not included. The application budget separately shows unmet application courses and any documented setup charges. Download the budget before leaving because plans are held only while this page is open.