A Guide to Nursing in West Virginia
🩺 West Virginia Nursing Guide 2025: Licenses, Hospitals, CEUs, and Careers
From whitewater rafting in New River Gorge to a buzzing Appalachian music scene, West Virginia has plenty to offer. But for nurses, the real appeal lies in its tight-knit healthcare community, affordable cost of living, and nationally recognized hospitals.
Whether you're a practicing RN, an LPN looking to upskill, or brand new to the field, this guide covers everything you need to know about licensing, renewals, continuing education, career outlook, and top hospitals in the Mountain State.
👉 Explore local job openings for nurses
đź“‹ Nursing Licensure in West Virginia
âś… Licensing by Examination
- NCLEX-RN fee: $200 via Pearson VUE
- Application fee: $70 via the WV RN Board Portal
- Background check: Required. Fingerprinting through IdentoGO
âś… Licensing by Endorsement
- Endorsement fee: $100 (RN), $35 (APRN), $125 (Rx authority)
- Temporary permit: $25
- WV NLC Multi-State upgrade fee: $7
- Compact State: Yes – WV is part of the NLC
🔄 License Renewal in West Virginia
- Renewal fee: $67 (RN), $35 (APRN)
- Renewal cycle: Annually, before October 31
- Check status or apply: WV RN Verification Portal
📚 Continuing Education Requirements
- RNs: 12 contact hours per year
- 2 hours in mental health (veterans/families)
- 3 hours in substance use (initial); 1 hour for renewals
- 2 hours in pain management/end-of-life (initial only)
- LPNs: 24 contact hours every 2 years + 400 clock hours of practice
- APRNs: 24 contact hours biennially (12 in pharmacotherapeutics)
đź’» Get free, ANCC-accredited CEUs accepted by the WV RN Board.
đź’Ľ Job & Salary Outlook
- Average RN salary in WV (2025): $75,800 (vs. U.S. avg. $86,070)
- Projected RN job growth in WV (2025–2030): +6%
- Demand hotspots: Rural hospitals, long-term care, home health
Source: Bureau of Labor Statistics and WV Center for Nursing
🏥 Top Hospitals for Nurses in West Virginia
1. West Virginia University Hospitals – Morgantown
- Magnet-recognized by the ANCC
- Ranked #1 in WV by U.S. News & World Report
- Notable specialties: Orthopedics, neurology, cancer care
- View WVU Health Careers
2. Charleston Area Medical Center (CAMC) – Charleston
- High-performing in 12 adult procedures
- Offers trauma care, stroke units, and advanced diagnostics
- CAMC Career Portal
3. St. Mary’s Medical Center – Huntington
- Part of Mountain Health Network
- Recognized for cardiovascular and surgical excellence
- Explore Nursing Jobs at St. Mary’s
🤝 Professional Nursing Organizations
- West Virginia Nurses Association (WVNA): Advocacy, policy, scholarships
- West Virginia Association of School Nurses: School-based practice resources
- AANP West Virginia Chapter: Support for Nurse Practitioners
🎓 Certification & Licensing Pathway
- Education
- Earn an ADN or BSN from an accredited program
- WV Schools Approved by the RN Board
- NCLEX Exam
- Apply 6 weeks before graduation
- Must pass to become licensed
- Retake eligible after 45 days if needed
- Clinical Experience
- Gain supervised clinical hours through school or post-grad programs
- Specialty Certification
- Optional for RNs, required for many APRNs
- Free certification prep + CEUs
📞 Contact the West Virginia RN Board
- Phone: (304) 744-0900
- Website: wvrnboard.wv.gov