Tennessee State Policy Fact Sheet


American Association of Nurse Practitioners - Tennessee State Policy

Nurse Practice Act: T.C.A. § 63-7

Regulatory Structure: Restricted Practice

State law restricts patient access to NP care. State licensure law requires physician supervision for at least one element of NP practice.
TN ADC 0880-06-.02

Regulatory Agencies

NP practice is regulated by the Board of Nursing.
TN ADC 0880-06-.01

Licensure Requirements

State law requires an RN license, a graduate degree in an NP role and national certification.
TN ADC1000-04-.03

Continuing Education*

In addition to CE hours required for national certification, NPs with prescriptive authority must maintain additional CE hours in controlled substance prescribing. See the Board of Nursing for details.
TN ADC 1000-4-.05

Medical Staff Membership**

NPs are not permitted to join medical staffs.
TN ADC 1200-08-01-.06

Primary Care Providers

NPs are defined in law as primary care providers.
TN ADC 1200-13-13-.01

Signature Recognition on Items of Patient Care

  • Parking Permits: Tennessee NPs are authorized to provide proof of disability for disabled parking permits.
    T.C.A. § 55-21-152
  • Do Not Resuscitate Orders: Tennessee NPs are not currently authorized to sign do not resuscitate orders.
    TN ADC 1200-08-29-.01
  • Death Certificates: Tennessee NPs are not presently authorized to sign death certificates.
    T.C.A. § 68-3-502
  • Provider Orders for Life-sustaining Treatment (POLST)/Physician Orders for Scope of Treatment (POST): Tennessee’s POST form may be signed by an NP.
    T.C.A. § 68-11-224

*Contact hours in specific topics may be required. Please contact your state’s Board of Nursing for current information.
**Medical staff membership refers to governing and voting privileges and is not reflective of clinical or admitting privileges within institutions.

Updated November 2017

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