Full list of compact nursing states
These 40 jurisdictions have fully implemented the compact. Residents can apply for a multistate license, and nurses with an active multistate license from another compact state can practice here under privilege.
Partial implementation
These jurisdictions have special, partial implementation. An out-of-state multistate license may be recognized, but local residents generally cannot yet obtain a multistate license. Do not assume full compact privilege.
- Guam — Guam has partial implementation of the Nurse Licensure Compact. Nurses who hold an active multistate license from another compact state may practice in Guam under privilege, but nurses whose primary state of residence is Guam generally cannot obtain a Guam-issued multistate license until full implementation is complete.
Enacted, awaiting implementation
These jurisdictions have passed compact legislation but are not yet issuing multistate licenses. Treat them as non-compact until an implementation date is announced — see pending & partial states.
How the compact works
The NLC lets a nurse hold one multistate license, issued by their primary state of residence, with authority to practice in every other compact state — in person or by telehealth. It removes the need to apply for a separate license in each compact state you work in. The terms “compact license” and “multistate license” are used interchangeably.
The compact applies to RNs and LPNs/LVNs. It does not, by itself, cover APRNs, who generally need separate authorization in each practice state. See our APRN compact guide for details.
What if my state isn’t a compact state?
If you live in a non-compact state, you cannot get a multistate license through that state. To work in another state, you typically apply for a single-state license or a license by endorsement. Use the compact state checker to see exactly what applies to your home and work states.