Tennessee Board of Nursing · CRNA

0 hours. Every two years. Tied to your license anniversary.

Below is exactly what Tennessee Board of Nursing requires: mandatory topics, exemptions, accepted credit types, and documentation rules.

Updated April 2026Sourced from TBN~5 min read

Reviewed by Doug Doehrman, MD · Last reviewed May 11, 2026

Mandatory topics

Tennessee has no state-mandated topic requirements beyond the 0-hour total.

Atlas CME tracks each of these mandatory topics against your Tennessee cycle automatically. Start tracking free →
Conditional requirements

These rules apply only when the trigger described under each card is met (for example, holding a state-issued controlled substance registration or treating a specific patient population). Each cites the underlying statute or rule directly.

ConditionalGeneral CME[1]
Hrs vary
Biennial

TN APRN renewal requires (1) current national certification (NBCRNA for CRNAs) AND (2) one item from the underlying RN continuing competence list (15 options including 10 contact hours of CE, employer evaluation, peer letter, etc.). No fixed CE hour minimum applies to APRNs without a Certificate of Fitness.

View sourceVerbatim from source
“Advanced Practice Registered Nurses who are practicing maintain evidence of: APRN without Certificate of Fitness (CF) supply the following: 1. Current national certification certificate (NOT state license; ex: ANCC, AANP, NBCRNA, etc); 2. ONE item from the Registered Nurse proof of competence.”
Tenn. Comp. R. & Regs. 1000-01-.18(2); 1000-04-.05See source [1] in Primary Sources
ConditionalOpioid / controlled substances[1]
2 hrs
Biennial

TN APRNs (including CRNAs) holding a Certificate of Fitness to prescribe must additionally complete 2 contact hours of CE on controlled substance prescribing practices per biennium (in addition to national certification + 1 RN competency item).

View sourceVerbatim from source
“APRN with Certificate of Fitness supply the following: ... TWO contact hours (minimum) of continuing education designed specifically to address controlled substance prescribing practices. The continuing education must include instruction in the TN department of Health's treatment guidelines on opioids, benzodiazepines, barbiturates, and carisoprodol, and may include such other topics of medicine addiction and risk management tools.”
TN BON Competency Requirements (per Rule 1000-01-.18)See source [1] in Primary Sources
Accepted credit

Credit must come from an organization accredited by the ACCME, AMA, Tennessee Medical Association, or AAFP. ACGME residency or fellowship time accrues toward the requirement. Teaching or presenting accredited CME can satisfy a portion of required hours.

Credit systemNotes
NBCRNA Class A
NBCRNA Class A credits accepted toward CE.Sourcehttps://www.nbcrna.com/continued-certification[2]
NBCRNA_CLASS_B
NBCRNA Class B credits accepted toward CE.Sourcehttps://www.nbcrna.com/continued-certification[2]
Documentation & audit

Physicians are responsible for retaining CME documentation and producing it on request. Requirements include course title, dates, hours, sponsoring organization, and accrediting body.

Waivers & exemptions

No formal waivers or exemptions are published for Tennessee.

FAQ
How many state-level CE hours do Tennessee CRNAs need?
None as a fixed CE hour minimum for APRNs without a Certificate of Fitness. APRN renewal under Tenn. Comp. R. & Regs. 1000-01-.18(2) requires (1) current national certification (NBCRNA for CRNAs) plus (2) one item from a 15-option RN proof-of-competence list. APRNs holding a Certificate of Fitness to prescribe must additionally complete 2 contact hours of CE on controlled substance prescribing practices per biennium.
Does Tennessee require NBCRNA certification for CRNA licensure?
Yes. TN APN-CRNA recognition requires current NBCRNA national certification, both at initial application and on a continuing basis.
Is Tennessee part of the APRN Compact?
No, TN has not enacted the APRN Compact as of April 2026. TN is, however, a member of the Nurse Licensure Compact (NLC) for the underlying RN license.
Where can I check my TN CRNA license renewal date?
Use the TN Health Licensure & Regulation Service portal at https://apps.tn.gov/hlrs/ or contact the TN Board of Nursing directly.

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Sources & Citations

Every mandatory topic and conditional requirement above cites the underlying statute or rule. Numbered references below correspond to the bracketed citations next to each requirement.

  1. TN BON — Continuing Competence Requirements (per Rule 1000-01-.18)
    Primary sourceAccessed 2026-04-30
    Show verbatim text
    “Advanced Practice Registered Nurses who are practicing maintain evidence of: APRN without Certificate of Fitness (CF) supply the following: 1. Current national certification certificate (NOT state license; ex: ANCC, AANP, NBCRNA, etc); 2. ONE item from the Registered Nurse proof of competence.”Tenn. Comp. R. & Regs. 1000-01-.18(2); 1000-04-.05 · Effective 2024-10-08
    “APRN with Certificate of Fitness supply the following: ... TWO contact hours (minimum) of continuing education designed specifically to address controlled substance prescribing practices. The continuing education must include instruction in the TN department of Health's treatment guidelines on opioids, benzodiazepines, barbiturates, and carisoprodol, and may include such other topics of medicine addiction and risk management tools.”TN BON Competency Requirements (per Rule 1000-01-.18)
  2. NBCRNA — Continued Certification
    Primary sourceAccessed 2026-04-30

This page is provided for general educational purposes and reflects the best available information as of the last reviewed date above. CME requirements change. Atlas CME is not affiliated with the Tennessee Board of Nursing, or any other state medical board, licensing authority, or professional organization. Physicians are solely responsible for verifying their own current CME requirements directly with their state medical board before relying on any information presented here.

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