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State guide: New Hampshire

New Hampshire clinicals for FNU students

New Hampshire has been in the Nurse Licensure Compact since 2018 and AANP lists it as full practice, so FNU students here meet few state hurdles. The pressure points are the Massachusetts border, where a multistate license doesn't reach yet, and a Board rule for out-of-state programs whose reach to graduate students is unclear.

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2018year New Hampshire implemented the Nurse Licensure Compact
FNU clinicals for students in New Hampshire: all FNU tracks allowed. RN license: in the compact. NP practice: full.
New Hampshire for FNU students: clinicals allowed for every FNU track; RN license in the compact; NP practice full (AANP).

A long-standing compact state

The New Hampshire Board of Nursing, part of the Office of Professional Licensure and Certification (OPLC), licenses nurses. Compact membership dates to January 19, 2018: if another compact state is your home and your license is multistate, it covers New Hampshire sites. FNU wants a license that's valid wherever you train, checked with Nursys Quick Confirm, and for telehealth one valid where the patient is. The APRN Compact is not enacted.

All four FNU specialties can train here; FNU's state license page lists New Hampshire as a state whose education requirements its programs meet.

The Board's rule for out-of-state programs

Rule Nur 602.15(j), titled Distance Education-Pre-Licensure, says approved pre-licensure programs based outside New Hampshire that contract with New Hampshire facilities must register their intent with the Board and give six weeks' notice of each planned placement.

Filings under Nur 602.15(j) for out-of-state pre-licensure programs (OPLC, 2026)
FilingWhen
Form A petitionEach year
Part B Student Clinical Placement formEach rotation, with six weeks' notice
Clinical Preceptor AgreementEach preceptor
Nursing Program Faculty Appointment formEach out-of-state faculty member supervising clinicals in the state, who needs a New Hampshire license

Two points limit its reach. OPLC lists post-licensure programs, naming RN-BSN and RN-MSN, as not regulated by the Board, and FNU's MSN and PGC students are already RNs. And Cornell's copy of Nur 602.15 shows an expiration date of January 23, 2026, though OPLC still cited it that month; readoption wasn't confirmed. Ask Clinical Credentialing whether anything applies to your site.

Manchester, Nashua, Concord and the Dartmouth side

About 433,000 people live in the Manchester-Nashua metro area, around 459,000 more in New Hampshire's share of greater Boston, and 158,000 in the Concord area. The systems include Dartmouth Health with Dartmouth Hitchcock Medical Center, Elliot Health System, Concord Hospital Health System, Catholic Medical Center (part of HCA Healthcare) and Southern New Hampshire Health. None is a confirmed FNU host.

Elliot and Southern New Hampshire Health founded SolutionHealth, and their boards proposed dissolving it in July 2025. If a site's parent organization is changing, ask early who signs the affiliation agreement.

Boston-area sites call for a Massachusetts RN license for now. The compact there has a May 2027 target, and until it takes effect your New Hampshire multistate license stops at the state line.

Precepting in a full practice state

AANP classifies New Hampshire as full practice. FNU's own tests still decide who qualifies: twelve months or more in an advanced practice role, a clean US license and no family connection. PMHNP students may train with psychiatrists without a time limit and log up to 135 hours with a master's-prepared therapist licensed in the state; see our PMHNP preceptor guide.

Midwifery: hospital, birth center or home

FNU requires 40 births with at least eight in a hospital; out-of-hospital births are recommended but not required. A birth center needs CABC accreditation. A home-birth practice goes to the Director of Clinical Credentialing and the Clinical Director for review, and one that offers twin or breech births can't be used. Your RCF fields questions on New Hampshire midwifery practice; our births guide covers FNU's counts.

Why New Hampshire students choose us

We search for preceptors within your drive, wherever in the state you live, and point out any Massachusetts site that would mean another license before you commit to it. Your CSAF details get assembled with us along the way, leaving your RCF and Clinical Credentialing a complete file for each site.

FAQ

Questions FNU students ask

Do I need a New Hampshire license for FNU clinicals in Nashua?

No, provided your multistate license comes from your compact home state; New Hampshire has participated since January 2018. A New Hampshire resident with a multistate New Hampshire license is covered in other compact states too, but not yet in Massachusetts.

Can I commute from Salem, New Hampshire, to a Boston clinic for FNU hours?

Only with a Massachusetts RN license. Massachusetts enacted the compact in November 2024, but its Board says multistate licenses don't give a privilege to practice there until implementation, targeted for May 2027. See our Massachusetts page for its placement rules.

Does New Hampshire's six-week notice rule apply to FNU?

It isn't settled. Nur 602.15(j) covers out-of-state pre-licensure programs, OPLC lists post-licensure programs such as RN-MSN as not regulated by the Board, and the rule's current status is unconfirmed. Clinical Credentialing meets state board requirements for placements, so ask there before you fix a start date.

Can I count births at a New Hampshire home birth practice?

Yes, if FNU clears the practice: the Director of Clinical Credentialing and the Clinical Director review home-birth sites, and practices offering twin or breech births are excluded. Sites offering TOLAC or VBAC need an attestation form. You still need at least eight hospital births within your 40.

Last checked 2026-09-23

We check these pages against FNU's own published sources. Your Clinical Advisor, your RCF and FNU's current guidelines have the final word.

Placement desk

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Tell us your FNU track, your county and your Clinical Bound date. We look for a preceptor and site that fit FNU's rules for your track, and help you get the CSAF and credentialing details right.

  • Matched to your track: CNM/CM, NP, or the right mix FNU allows
  • Ready for the CSAF, the RCF and Clinical Credentialing
  • In person near you, or telehealth within FNU's caps

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