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⚠️ Important: This comparison is based on published state licensing requirements and may not reflect recent changes. Reciprocity and transfer rules change frequently and are evaluated on a case-by-case basis by state licensing boards. This tool is for research purposes only and does not constitute legal or professional advice. Always contact Tennessee Department of Health, Board of Emergency Medical Services directly to confirm current transfer requirements before submitting any applications or fees.
Everything you need to know about transferring your emt / paramedic license from North Carolina to Tennessee
We could not confirm reciprocity status between these states. Contact Tennessee Department of Health, Board of Emergency Medical Services to verify.
| Requirement | North Carolina (NC) | Tennessee (TN) |
|---|---|---|
| Education Requirements● | High school diploma or GED (17-year-olds can take exams but credential is held until age 18) | High school diploma or GED; English proficiency required |
| Exam Requirements | Not available | Not available |
| Experience Requirements | Not available | Not available |
| Fees | nremt exam fee: $80; state application fee: $25; renewal fee: $25; total initial emt cost: $68 (state exam) + $38 (background check) + course tuition; total initial paramedic cost: $68 (state exam) + $38 (background check) + program tuition; confidence: high; sources: https://oems.nc.gov/; https://oems.nc.gov/emt-renewal-2/ | nremt exam fee: $80; state application fee: $25; state license fee: $25; renewal fee: $24; background check fee: Varies; total initial emt cost: Course + $104 (NREMT) + $20 (app) + $25 (license) + background check; total initial paramedic cost: Course + $104 (NREMT) + $20 (app) + $25 (license) + background check; confidence: high; sources: https://www.tn.gov/health/health-program-areas/health-professional-boards/ems-board/ems-board/licensure.html; https://www.tn.gov/health/health-program-areas/health-professional-boards/ems-board/ems-board/general-information.html |
| Renewal / CE Requirements● | Period: 4 years (NC state credential); Fee: $25 | Period: 2 years; Fee: $25 |
Data verified as of 2026-03-21. Requirements may have changed since verification.
Gather required documentation (education transcripts, experience logs, exam scores).
These steps are general guidance based on common transfer processes. Your state may have a different process. Always follow the instructions provided by your state licensing board.
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