Living in North Dakota, working in Tennessee
Can a North Dakota nurse work in Tennessee?
If your primary state of residence is North Dakota and you hold an active multistate license from North Dakota, you may generally practice in Tennessee under compact privilege — without applying for a separate Tennessee license.
North Dakota vs Tennessee at a glance
| North Dakota (home) | Tennessee (work) | |
|---|---|---|
| Compact status | Compact | Compact |
| Multistate license for residents | Yes | Yes |
| Compact nurses can practice here | Yes | Yes |
| Board of nursing | North Dakota board ↗ | Tennessee board ↗ |
Status shown as of 2026-06-17. Compact law changes — confirm anything that affects your license with the state board.
Recommended next step
Verify that your North Dakota license is multistate in Nursys, then review any Tennessee-specific requirements with the Tennessee Board of Nursing.
Verify before you rely on this
Whether you can practice comes down to your actual license type, not just the two states’ status. Look your license up on Nursys to confirm it is single-state or multistate, then check Tennessee’s current requirements with the Tennessee Board of Nursing.
Where each license is actually checked
These two states do not verify the same way, and the difference matters at different moments: North Dakota is what you will be asked to produce, Tennessee is what an employer there will run.
Your home state
North Dakota
North Dakota Board of Nursing license lookup ↗The strongest free lookup found so far: real-time against the board’s own database (not a nightly extract, so no Mississippi-style next-day gap), treated as primary source, and it shows discipline history inline with links to the public records rather than a bare flag. Paid extras sit above it — $35 for an official verification, $65 for a downloadable list of active LPNs, RNs and APRNs. Note that list refreshes monthly on the second business day, so it can be up to a month stale where the free lookup is current.
Where you want to work
Tennessee
Tennessee Department of Health licensure verification ↗Tennessee has designated Nursys a primary-source equivalent, so either is acceptable for license status — but the state system additionally returns disciplinary profile and abuse-registry data that a Nursys lookup does not, which matters if you are credentialing rather than just confirming a license.
How long each has been part of this
Both North Dakota and Tennessee began recognizing compact privilege in 2018. A pairing of two states that arrived together is the simplest case there is: neither has a transitional quirk the other lacks.
The law behind each side
Compact privilege is not a courtesy between states — it is each legislature having enacted the compact into its own code. These are the provisions that do it.
Your home state
North Dakota
N.D. Cent. Code ch. 43-12.4 (Nurse Licensure Compact) ↗The compact sits in its own chapter, 43-12.4, next to but separate from the Nurse Practices Act at 43-12.1 — close enough in numbering to mis-cite, far enough apart in subject to matter. North Dakota joined the original compact on 1 January 2004 and moved to the enhanced one on 19 January 2018, and it legislated for the APRN compact in the same 2017 session. That makes it the fourth jurisdiction here, with Iowa, Idaho and Delaware, carrying APRN compact law on the books.
Scope is set separately. What you may actually do here comes from NDCC 43-12.1 (Nurse Practices Act) ↗.
Where you want to work
Tennessee
Tennessee has enacted the compact, but we have not yet confirmed the exact citation against the state’s own published code. We would rather say that than print a section number we cannot stand behind.
Scope is set separately. What you may actually do here comes from T.C.A. tit. 63, ch. 7 (Nursing); RNs at §§ 63-7-103, -104, LPNs at §§ 63-7-108, -109 ↗.
Things to keep in mind
- Compact privilege only applies if your license is multistate, not single-state. Check this in Nursys.
- You must meet Tennessee's practice requirements (for example, scope of practice and any continuing-education rules).
- APRN roles are generally not covered by the standard compact — APRNs usually need separate authorization in each state.
Frequently asked questions
Related pages
Sources & last reviewed
- NLC frequently asked questions— NCSBN / NurseCompact (nursecompact.com)
Covers multistate licenses, primary state of residence, the 60-day rule, telehealth, and license type coverage.
- NLC member states map & status— NCSBN / NurseCompact (nursecompact.com)
Identifies full members, partial implementation (Guam), and enacted/awaiting implementation (Massachusetts, U.S. Virgin Islands).
- Nursys QuickConfirm license verification— NCSBN / Nursys (nursys.com)
Recommended destination to verify whether a license is single-state or multistate.
Facts on this page were last reviewed against official sources on 2026-06-17. Compact law changes — always verify with your state board of nursing.