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Office of Certification, Licensure, and Compliance:
State Nurse Practitioner Licensure Forms

Nurse Practitioner Licensure Forms and Letters

We greatly encourage you to review your State Board of Nursing’s entire NP licensure application and all the instructions before requesting any documentation. Some state boards will require documentation to verify your education in addition to an official transcript. These documents are either forms provided by the board, or a letter which Walden will create.

There are two types of verification that boards typically request: 1) verification of the degree, and 2) verification of pharmacology coursework.

The chart below shows which forms and letters Walden typically completes for each state. If “Not applicable” is listed for your state, that means that to our knowledge documentation in additional to an official transcript is not required.

Boards occasionally revise their application processes. If your board is asking for documentation that is different from what is listed here, or if the links provided are broken, please email nurslicensure@mail.waldenu.edu,  and include a link to the Board website that includes information about that documentation.

Notes for all documentation requests: Do not submit a request until you have completed all program coursework. We cannot verify course and program completion until final grades are posted and your degree has been conferred. Submitting a form early will not result in the form being processed sooner. Once a request has been submitted through Meditrek, allow 10 business days for processing. If you submit a form before you have completed all program coursework, the 10 day processing time won't begin until after final grades are posted and your degree has been conferred.

For NP Forms

Please click on the link provided in the chart below to obtain the form. To ensure that there are no delays in the processing of your request, please make sure you do the following:

1. Review the form and fill in any area that requires completion by the applicant (contact information, SSN, RN license number, date of birth, etc.)

2. If the form requires your signature, please sign and date the form. This office will not be able to complete the form if any areas that require your completion are left blank.

3. If the form is provided as part of an application document, please separate the form from the rest of the application. Submitting the entire application may result in a delay of processing.

Exception for Texas: You do not need to obtain this form from the board. Please proceed to Meditrek to submit a request.

Please note: Some states require multiple forms and you can request all of them at once. You will not be able to submit multiple requests for the same form. PDFs are the preferred format for all forms. The quality of forms in different formats (such as digital photos of forms, or Word docs) may be too poor for us to complete.

For NP Letters

You do not need to obtain a sample letter. If a letter is listed for your state board, this office is aware of the requirements and has a draft of the letter prepared.

 

Meditrek Instructions

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Chart of State Links

State

 

Name of credential

Application information

Link NP education verification form

Link to advanced pharmacy course completion form(s)

Alabama

Certified Registered Nurse Practitioner (CRNP)

Link

Not applicable – only official transcripts required

Not applicable

Alaska

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Arizona

Registered Nurse Practitioner (RNP)

Link

This Board requires the a letter OR the Certificate of Completion for Advanced Practice Applicants form. Please only request one or the other unless otherwise directed by the board.

Not applicable

Arkansas

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

California

Nurse Practitioner (NP)

Link

Verification of Nurse Practitioner Academic Program (Pg. 3) Please only upload page 3 when you submit your request in Meditrek.

Nurse Practitioner Advanced Pharmacology Course Verification  (Pg. 2) Please only upload page 2 when you submit your request in Meditrek.

Colorado

Advanced Practice Registration (APN)

Link

Not applicable – only official transcripts required

Not applicable

Connecticut

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Delaware

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

District of Columbia Advanced Practice Registered Nurse (APRN) Link Not applicable - Transcripts also not required Not applicable

Florida

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Georgia

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Hawaii

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Idaho

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Verification of Pharmacology Course Content and Contact Hours

Illinois

Advanced Practice Nurse (APN)

Link

Not applicable – only official transcripts required

Not applicable

Indiana

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Iowa

Advanced Registered Nurse Practitioner (ARNP)

Link

Not applicable – only official transcripts required

Not applicable

Kansas

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Kentucky

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Louisiana

Advanced Practice Registered Nurse (APRN)

Link

Verification of Advanced Practice Nursing Education

Not applicable

Maine

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Maryland

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Massachusetts

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Michigan

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Minnesota

Advanced Practice Registered Nurse (APRN)

Link

Confirmation of Program Completion – Advanced Practice Registered Nurse

Not applicable

Mississippi

Advanced Practice Registered Nurse (APRN)

Link

This board requires a letter – Proceed to Meditrek to submit a request

Not applicable

Missouri

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Montana

Certified Nurse Practitioner (CNP)

Link

Not applicable – only official transcripts required

Not applicable

Nebraska

 APRN-Nurse Practitioner

Link

Not applicable – only official transcripts required

Not applicable

Nevada

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

New Hampshire

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

New Jersey

Advance Practice Nurse Certification (APNC)

Link 

Not applicable – only official transcripts required

Not applicable

New Mexico

Advanced Practice Registered Nurse (APRN)

Link

Verification of Advanced Practice Registered Nurse Education Form

Not applicable

New York

Nurse Practitioner

Link

Nurse Practitioner Form 2

Certification of Professional Education

2B - Verification of Instruction in New York State and Federal Laws Related to Prescriptions and Record Keeping

&

2C - Verification of Pharmacotherapeutics Course

North Carolina

Advanced Practice Registered Nurse (APRN)

Link

This board requires a letter – Proceed to Meditrek to submit a request

Not applicable

North Dakota

Advanced Practice Licensure

Link

Not applicable – only official transcripts required

Please note that the Verification of Program Completion Advanced Practice Registered Nurse form is not required.

Not applicable

Ohio

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

This board requires a letter – Proceed to Meditrek to submit a request

Oklahoma

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

This board requires a letter – Proceed to Meditrek to submit a request

Oregon

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Pennsylvania

Certified Registered Nurse Practitioner (CRNP)

Link

Verification of Nurse Practitioner Program

There are two forms:

Verification of Opioid Education

&

Verification of Advanced Pharmacology

Rhode Island

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

South Carolina

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

South Dakota

Certified Nurse Practitioner (CNP)

Link

Certified Nurse Practitioner Education Verification – Form 3 (Pg. 6) Please only upload page 6 when you submit your request in Meditrek.

 

Note that Certified Nurse Practitioner

OPTIONAL Transcript Request – Form 2 is not required.

Not applicable

Tennessee

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Texas

Advanced Practice Registered Nurse (APRN)

Link

Verification of Completion of an Education Program in an APRN Role

There is no link provided because you don’t need to obtain this form from the board. A signed CONSENT TO RELEASE INFORMATION form is not required as long as the student makes the request themselves. Please proceed to Meditrek to submit a request.

Not applicable

Utah

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Vermont

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Virginia

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable

Washington

Advanced Registered Nurse Practitioner (ARNP)

Link

Not applicable – only official transcripts required

Not applicable

West Virginia

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

This board requires a letter – Proceed to Meditrek to submit a request

Wisconsin

Advanced Practice Nurse Prescriber (APNP)

Link

Certification of Master’s or Doctoral Degree (Form #2367)

Not applicable

Wyoming

Advanced Practice Registered Nurse (APRN)

Link

Not applicable – only official transcripts required

Not applicable