Maryville NP clinicals in Tennessee: check the out-of-state moratorium first

Tennessee on Maryville's licensure grids

Tennessee gets a “Meets” for every NP concentration on the June 2026 grids, and that holds for the MSN, the DNP-NP, the BSN-to-DNP and the certificate. Those grids are about whether the program meets Tennessee's licensure requirements. They don't answer whether Maryville can place you in a Tennessee clinical under the state's newer law, which is the question to settle first.

The out-of-state program moratorium

SB 2013/HB 1905 carries the name Tennessee Nursing Education Integrity and Oversight Act and adds new T.C.A. 63-7-501 to -506. It directs the Board of Nursing to halt, for two years, the acceptance and approval of applications from nursing programs outside Tennessee wanting approval to operate there, enroll students, or put students into clinical experiences in the state. Any program not “based in this state” is covered, whether APRN, RN-to-BSN or pre-licensure.

Out-of-state programs keep approvals granted before the effective date, though each must supply whatever data the Board or the Tennessee Center for Nursing Advancement requests, preceptor lists and student placement statistics included. By June 30, 2027, the Center is to propose new standards covering out-of-state programs that rely on Tennessee clinical sites or preceptors. The bill's findings call oversight of many out-of-state programs placing students in Tennessee inadequate.

The bill takes effect once it becomes law; a secondary source gives April 27, 2026, and official enactment is worth confirming. No current Board rule on record requires, in express terms, that out-of-state programs be approved before clinical placement. Whether Maryville held a Tennessee approval before the bill is a question for Maryville.

Restricted practice and who can precept

AANP classifies Tennessee as restricted practice. NPs there are supervised by a physician, and both opioid supply and Schedule II to IV prescribing are limited. A Tennessee NP preceptor's prescribing reflects those limits.

For the preceptor, Maryville's own list applies: board-certified APRNs, MDs and DOs, unencumbered, a year or more into practice, and PMHNP students may also use an LCSW or a PsychD or PhD psychologist. See preceptor requirements.

A preceptor incentive that lists Missouri schools

Using state grant funds, the Tennessee Center for Health Workforce Development and the Tennessee Hospital Association run the THA Nurse Preceptor Incentive Program. It rewards preceptors who log 70 or more one-to-one precepting hours per cycle, while funds last. Qualifying preceptors are LPNs, RNs and APRNs who are US citizens or permanent residents, hold an unrestricted Tennessee or multistate license, and finish the UTHSC preceptor course, which includes a module just for NP preceptors.

The precepted student usually has to attend an accredited Tennessee program. An exception covers students from schools in Arkansas, Missouri, Mississippi, Kentucky, Alabama, Georgia and Virginia when the hours take place in Tennessee. Maryville is a Missouri school, so a Tennessee APRN precepting you may be eligible, subject to the program's rules and funds. Physicians aren't on the eligible preceptor list. The Fall 2026 cycle spans August 1 through December 1, 2026; submit documentation by December 10, 2026.

Your RN license, and where NP students look

Tennessee has been in the Nurse Licensure Compact since January 19, 2018, so a Missouri multistate license covers you there under Maryville's license rule. Tennessee has no APRN Compact law, though; see RN license for clinicals.

The largest metro is Nashville, followed by Memphis, Knoxville and Chattanooga. Large systems in the state include Covenant Health and Erlanger, plus Ballad Health, Vanderbilt University Medical Center and Methodist Le Bonheur Healthcare. They're where NP students look once the moratorium question is settled.

Why Tennessee-area students choose us

Tennessee calls for a plan B, so we build one in from the start. Once Maryville confirms a Tennessee placement is open to you, a placement advisor searches there for preceptors who fit its rules and points Tennessee APRNs to the THA incentive. If the answer is no, the search moves to a neighboring state your license covers, such as Kentucky or Arkansas, within that state's rules. Wherever it lands, Maryville gives the preceptor and site their final approval. Start with the form below.