Overview
For most Internationally Educated Nurses (IENs), the full process takes 12 to 24 months. While some “Expedited Pathways” can shorten this to under a year, factors like credential gaps, language testing, and visa processing often extend the journey.
Step 1: NNAS Credential Verification (2–6 Months)
The National Nursing Assessment Service (NNAS) is the first stop for almost all IENs. They verify that your international education and license are authentic.
- Expedited Service: Launched recently, this service can provide an Advisory Report in as little as 5 business days once all documents are received.
- Regular Service: Can still take 3–6 months if your school or past employers are slow to send documents.
- Key Fact: You do not send documents yourself; they must come directly from your school, licensing body, and employers.
Step 2: Provincial Regulatory Application (2–4 Months)
Once NNAS issues your Advisory Report, you apply to a provincial regulator (e.g., BCCNM in BC, CNO in Ontario, or CLPNS in Saskatchewan).
- Assessment: The regulator decides if your education is “substantially equivalent” to a Canadian LPN program.
- The “Gap” Factor: If they find gaps, you may be required to complete bridging courses or a competency assessment (NCAS/IARC). This can add 6–12 months to your timeline.
Step 3: Proving Language Proficiency (1–3 Months)
Unless you were educated in a country where English or French is the primary language of instruction and native tongue, you must pass an approved test (like IELTS Academic, CELBAN, or TEF).
Pro-Tip: Many provinces now allow you to start your application before submitting language scores, but you cannot be licensed without them.
Step 4: The Licensing Exam (Dates Vary)
The exam you take depends on where you want to work:
- REx-PN: Required for Ontario and British Columbia. This is a “Computer Adaptive Test” available year-round with no attempt limits.
- CPNRE: Required for most other provinces (e.g., Alberta, Manitoba, NB). This is a fixed-window exam offered several times a year.
Step 5: Jurisprudence Exam & Final Registration (2–4 Weeks)
Before the final license is issued, you must pass a short, open-book “Jurisprudence Exam” regarding the laws and ethics of nursing in that specific province.
Total Estimated Timeline
| Stage | Estimated Time |
| Document Gathering & NNAS | 3–6 Months |
| Provincial Review & Language Testing | 3–6 Months |
| Bridging/Competency Assessment (If required) | 6–12 Months |
| Exam Prep & Writing | 2–4 Months |
| Total | 12–24 Months |
What Can Delay Your Progress?
- Document Delays: Waiting for your home country’s nursing board to verify your license is the #1 cause of delays.
- The “Currency of Practice” Rule: If you haven’t practiced as a nurse in the last 3–5 years, you will almost certainly be required to take additional schooling.
- Translation Needs: If your documents aren’t in English or French, certified translation adds cost and time.
How to Move Faster
- Use the NNAS Expedited Service: If you are eligible, it cuts months off the initial verification.
- Apply for a “Conditional License”: Some provinces (like Nova Scotia) allow you to work under supervision as a “Graduate Practical Nurse” while you wait to write your final exam.
- Start Language Prep Early: Don’t wait until the end to take your IELTS/CELBAN; these slots fill up fast.
