Compact State Licensure: Your VIP Pass to Remote Nursing Careers
General Topics
Learn how compact state licensure breaks down barriers (and boosts job options) for nurses eyeing remote and telehealth jobs.

If you’ve ever fantasized about answering patient questions from your sunlit kitchen in North Carolina, then logging off to chase your toddler—or just your sanity—you’re not alone. Remote nursing has become the holy grail for many of us, but there’s one not-so-glamorous gatekeeper: nurse licensure. Enter compact state legislation, aka the Nurse Licensure Compact (NLC)—your underappreciated golden ticket for telehealth flexibility.
In plain nurse-speak: the Nurse Licensure Compact (NLC) lets registered nurses (RNs) and licensed practical/vocational nurses (LPNs/VNs) practice in other compact states with one license. That’s like getting free refills at every coffee shop in town, not just your favorite spot. If your primary state of residence is in the NLC, you’ve got permission to work across state lines—hugely valuable for remote gigs that serve patients in multiple states.
Picture this: You’re applying for a telenursing job with major players like Teladoc or Florida-based MDLIVE. They see you hold a compact license—cue fireworks and confetti. Employers adore this because they can deploy you instantly for patients in a dozen (or 30+) states, without legal tangles. Bonus: Some companies like Avant Healthcare Professionals specifically hunt for nurses with compact licenses so check those job boards and throw your hat in the ring!
As of 2024, over 35 states are in the compact club—think Texas, Arizona, Florida, North Carolina, New Hampshire, Montana… and many more. But states like California and New York, notorious for playing hard to get, aren’t aboard (yet). If you’re in a non-compact state, you’ll need to obtain individual state licenses for each place your patients reside. (Pro tip: keep an eye on NLC expansion—they’re always adding new states.)
Let’s get real: The NLC eases a lot, but it isn’t a magic wand. APRNs are under a separate compact. And, you need to follow each state’s nurse practice act—even if you’ve never stepped foot inside it. Weird, right? Think of it like learning hospital policies by email, but at a nationwide scale. Double-check scope of practice and heed any state-specific rules.
If you’re ready to trade the hospital parking lot for your own cozy office (or, let’s be honest, the couch), compact licensure is your best friend. With the right paperwork and a little hustle, you can work with top telehealth employers in Florida, Texas, or even both on the same day—possibly in the same pajamas. Ready to get started? Dive into resources at the Telehealth Nurse Network and take charge of your remote future!

Whether you're a nurse searching for your next role or an employer seeking qualified telehealth professionals, our team is here to help.
We specialize in connecting skilled nurses with leading employers, making the process seamless and efficient for everyone involved.
Fill out the form and let us know how we can support you in achieving your goals!