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Nursing Credential Evaluation: A Complete Guide for IENs Moving to the U.S.

Internationally educated nurse reviewing credential evaluation documents for U.S. licensure

If you are an internationally educated nurse (IEN) planning to practice in the United States, a nursing credential evaluation is one of the first steps you need to complete. Boards of nursing require proof that your education and training meet U.S. standards before they will grant licensure. Without a proper evaluation from a recognized agency, your application could be delayed or denied, putting your career plans on hold.

Start your nursing credential evaluation with IEE today and receive results in as few as 5 business days.

This guide walks you through everything you need to know about the nursing credential evaluation process: what it involves, which states/territories require evaluations from NACES-member agencies, the difference between report types, and exactly how to submit your credentials. Whether you are applying for RN or LPN/LVN licensure, this article will help you move forward with confidence.

What Is a Nursing Credential Evaluation?

A nursing credential evaluation is a formal review of your international nursing education, professional licensure, and clinical training to determine their equivalence to U.S. standards. A qualified evaluation agency examines your transcripts, diplomas, and licensing documents, then produces a detailed report that U.S. boards of nursing use to decide whether your qualifications meet their requirements for licensure.

For IENs, this evaluation is not optional. It is a regulatory requirement in every state that accepts foreign-educated nurses. The evaluation verifies several things:

  • The institution where you earned your nursing degree is accredited and recognized
  • Your program of study is comparable to a U.S. nursing program in scope and content
  • Your clinical hours and coursework meet the minimum standards set by the board
  • Your professional nursing license in your home country is valid and in good standing

The evaluation process exists to protect public safety while ensuring that qualified international nurses can contribute to the U.S. healthcare workforce. With nearly 25,000 IENs applying for U.S. credentials each year, the demand for reliable, fast evaluations continues to grow.

Why Internationally Educated Nurses Need a Credential Evaluation

The United States faces a persistent nursing shortage. Hospitals across the country actively recruit internationally educated nurses to fill critical staffing gaps, and the Bureau of Labor Statistics projects that demand for registered nurses will continue to grow through the next decade. For IENs, this shortage represents a significant opportunity, but only if you can navigate the licensure process efficiently.

Every U.S. state/territory regulates nursing independently through its own Board of Nursing (BON). While the specific requirements vary from board to board, virtually all boards require IENs to submit a credential evaluation report as part of their licensure application. Here is why that matters:

  • No evaluation, no license. Nursing boards will not process your application without a credential evaluation from an approved agency. This is a hard requirement, not a suggestion.
  • Employer and visa requirements. Healthcare employers, recruiting agencies and immigration attorneys often require a completed evaluation before extending job offers or filing visa petitions. If you are pursuing an EB-3 visa or need a Healthcare Worker Certificate (HCW), the evaluation is part of that process.
  • NCLEX eligibility. Before you can take the NCLEX-RN or NCLEX-PN examination, most boards require your foreign credentials to be evaluated and approved. Delays in your evaluation directly delay your exam date.
  • State-to-state mobility. If you plan to practice in multiple states or may relocate, having an evaluation from a NACES-member agency gives you broader acceptance across the boards of nursing.

The bottom line: a nursing credential evaluation is the gateway to your U.S. nursing career. Getting it done quickly and correctly saves you time, money, and frustration.

Which States Require NACES-Member Evaluations for Nursing Licensure?

Not all credential evaluation agencies carry the same weight with boards of nursing. Many boards specifically require or strongly prefer evaluations from agencies that are members of the National Association of Credential Evaluation Services (NACES). NACES membership means the agency adheres to strict standards for accuracy, consistency, and ethical practice.

IEE is a NACES member and has been providing credential evaluations since 1981, giving it more than four decades of experience working with state nursing boards. IEE currently provides nursing licensure evaluations accepted in 18 U.S. boards, including:

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About author

An expert nurse and leading nursing educator, Dr. Sanders oversees the Nursing division at IEE, which provides Health Care Worker (HCW) certificates (pending government approval), licensure approval by U.S. Boards of Nursing, and education evaluation processes for undergraduate and graduate nursing applicants. She has experience in international credentialing and developed methodology that improved Internationally Educated Nurses’ (IEN) performance on the National Council Licensure Examination (NCLEX).
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