How to get your RN license in Missouri

1. Graduate from an approved nursing program. Missouri accepts ADN and BSN graduates from programs accredited by ACEN or CCNE.
2. Apply to the Missouri State Board of Nursing. Submit your application, transcripts, and the $$80 licensing fee through the board's online portal at https://pr.mo.gov/nursing.asp.
3. Complete fingerprinting and background check. Missouri requires a criminal background check via fingerprinting, typically through L-1 Enrollment Services or IdentoGO.
4. Register for the NCLEX-RN with NCSBN. Pay the $200 NCSBN fee, receive your Authorization to Test (ATT), and schedule with Pearson VUE.
5. Pass the NCLEX-RN. The exam is 75 to 145 questions, computer adaptive, up to 5 hours. Results are reported to your state board within 1–2 business days.
6. Receive your license. Missouri State Board of Nursing issues your license number once your NCLEX results post.

Missouri continuing education and renewal

Missouri does not require continuing education hours for RN renewal. Renewals are managed online through Missouri State Board of Nursing.

Is Missouri a compact state?

Missouri is a member of the Nurse Licensure Compact (NLC). If you hold a multistate license issued by Missouri, you can practice in every other compact state without applying for additional licensure. Your primary state of residency must be Missouri to issue the compact license here.

How much does it cost to become an RN in Missouri?

Total first-time licensure cost in Missouri typically runs $330–$390: $80 state fee + $200 NCSBN NCLEX-RN fee + $50–60 fingerprinting, plus optional NCLEX prep ($10–$500 depending on resource).

Free NCLEX-RN practice for Missouri candidates

Clarity gives every test-taker 10 free NCLEX questions per day with a free account. Premium ($9.99/mo) unlocks 5,000+ questions, the AI tutor, and 5 timed readiness exams modeled on the live NCLEX-RN — accepted at every state board because the NCLEX itself is the same nationally.