CNS Advanced Practice

Texas Clinical Nurse Specialist License Requirements

Complete guide to becoming a Clinical Nurse Specialist in Texas

Processing Time

4-8 weeks

Initial Cost

$100

Renewal Period

2 years

Practice Authority

restricted

Restricted Practice

Restricted practice: CNS is an APRN in TX (Tex. Occ. Code 301.152) requiring career-long physician supervision/delegation; prescribing is physician-delegated via a prescriptive authority agreement (Tex. Occ. Code 157.0512).

Prescriptive Authority: Collaborative agreement required; Jurisprudence Exam mandatory

1 Education Requirements

Degree Required

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)

Program Requirements

Complete accredited Clinical Nurse Specialist program
Hold active RN license in the state
Clinical hours as specified by program

2 National Certification

Certification Body

ANCC or AACN

Required

Yes

American Nurses Credentialing Center or American Association of Critical-Care Nurses

3 Fees

Initial Licensure

Application Fee	$100
Total	$100

Renewal

Renewal Fee (every 2 years)

$70

Continuing Education Requirements

Contact hours required

2 years

Renewal cycle

2 jurisprudence/ethics every 3rd renewal; 400 practice hours required

Prerequisites

To become a Clinical Nurse Specialist in Texas, you must first hold an active RN license. Texas is a member of the Nurse Licensure Compact (NLC), so you may hold a multistate RN license.

RN Requirements View Texas RN Requirements

Texas CNS License FAQs

How much does a CNS license cost in Texas?

Expect about $100 in total initial CNS license costs in Texas, including a $100 application fee. Fees can change, so confirm current amounts with the Texas Board of Nursing.

How many CE hours do CNSs need to renew in Texas?

Texas CNSs must complete 20 continuing education hours each 2-year renewal cycle. The renewal fee is $54.

How long does it take to get a CNS license in Texas?

Most complete applications are processed in about 4 to 8 weeks, though background checks and application volume can extend the timeline.

Who issues CNS licenses in Texas?

The Texas Board of Nursing handles CNS license applications, renewals, and verifications. You can reach the board at 512-305-6843.