2026 North Carolina Guide

Top LPN Programs & Schools in North Carolina

North Carolina has one of the strongest community college systems in the country — 58 campuses spread across every region of the state, all charging $76/credit for in-state students. That makes a typical LPN program cost $3,800–$5,700 in tuition — a fraction of the national average. The Longleaf Commitment Grant covers remaining costs after Pell for first-time students, potentially making it tuition-covered.

$62,040 Avg. Annual Salary
$29.83 Avg. Hourly Wage
4% Job Growth (10-yr)
~2,200 Annual Openings

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Accredited LPN Programs & Colleges in North Carolina

Wake Tech (Raleigh), CPCC (Charlotte), Forsyth Tech (Winston-Salem), and dozens of other campuses offer practical nursing certificates. The $76/credit rate is standardized statewide. Clinical placements at Atrium Health, Novant Health, WakeMed, and Duke Health cover every major healthcare system in the state.

School City Type Program Length Approx. Tuition
Central Piedmont Community College Charlotte Community College 12 months $5,400
Wake Technical Community College Raleigh Community College 12 months $5,600
Fayetteville Technical Community College Fayetteville Community College 12 months $5,200
Forsyth Technical Community College Winston-Salem Community College 12 months $5,300
Johnston Community College Smithfield Community College 12 months $5,000

Tuition figures are approximate and reflect in-state rates. Contact each school for current pricing, financial aid, and enrollment deadlines. Always confirm the program is approved by the North Carolina Board of Nursing.

Online & Hybrid LPN Programs in North Carolina

No North Carolina LPN program is fully online — the NC Board of Nursing requires supervised clinical hours. Some campuses offer limited hybrid coursework options. NC's 58-college system means there's a campus near you regardless of location, reducing the need for extensive online components.

Hybrid programs are ideal for working adults, parents, or anyone who needs scheduling flexibility. Typical hybrid programs cover 40–60% of coursework online, with the remainder as on-site clinical hours at approved partner hospitals, skilled nursing facilities, and clinics.

For a complete list of online-friendly LPN programs available to North Carolina residents, visit our dedicated guide:

View Online LPN Programs in North Carolina →

Requirements to Enroll in a North Carolina LPN Program

NC community college programs use competitive admissions with TEAS or HESI scores as primary ranking criteria. The Longleaf Commitment Grant and NC Education Lottery Scholarship have their own eligibility requirements. North Carolina is an NLC compact state.

Quick Facts: LPN Licensing in North Carolina

Licensing Exam NCLEX-PN
Regulatory Board North Carolina Board of Nursing
Min. Education State-approved LPN program (typically 12 months)
Background Check Required

After completing an approved program, graduates must pass the NCLEX-PN examination and apply for licensure through the North Carolina Board of Nursing. Most candidates receive their results within 48 hours of testing.

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LPN Salary & Job Outlook in North Carolina

According to the U.S. Bureau of Labor Statistics (BLS, May 2024 OEWS data), LPNs in North Carolina earn an average of $62,040 per year ($29.83/hour). This places North Carolina near the national average the national LPN average of $62,340.

Salaries in North Carolina typically range from $46,200 for entry-level positions to $77,200 for experienced nurses in high-demand specialties or metro areas.

LPN Salary by City in North Carolina

City / Metro Area Average Annual Salary
Charlotte $65,200
Raleigh $64,800
Greensboro $61,400
Durham $63,800

Job Outlook

Employment of LPNs in North Carolina is projected to grow 4% over the next decade — about as fast as average for all occupations. The state sees approximately 2,200 annual job openings for LPNs, driven by retirements, career transitions, and growing demand in skilled nursing facilities and home health.

Where LPNs Work in North Carolina

The majority of LPNs in North Carolina work in skilled nursing facilities and long-term care, which together employ roughly 35% of the state's practical nurses. Other common employers include hospitals, physician offices, home health agencies, and outpatient care centers. Shift differentials for evenings, nights, and weekends can add $2–$5/hour on top of base pay.

First Job Tips for New LPN Graduates

Landing your first LPN position in North Carolina is usually straightforward given current demand. Skilled nursing facilities and long-term care centers actively recruit new graduates and often offer sign-on bonuses. Staffing agencies are another option — they can place you quickly and often pay above-average hourly rates. Once you have 6–12 months of experience, you'll qualify for positions in hospitals, clinics, and specialty practices.

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Explore More Nursing & Healthcare Careers in North Carolina

Whether you're starting out or planning your next credential, these guides can help:

North Carolina

North Carolina LPN Scope

North Carolina LPN Scope of Practice — What You Can and Can't Do

North Carolina LPNs are regulated by the NC Board of Nursing (NCBON). NC is an NLC state. NCBON has published detailed position statements on LPN scope and infusion therapy.

You Can Direct Patient Care

NC defines LPN scope as "limited and focused" — a dependent and directed scope requiring assignment/delegation by an RN, physician, or dentist:

  • Medication administration (oral, IM, SubQ, topical, rectal, inhaled)
  • Focused assessments — collecting data, comparing against standards, identifying correlations
  • Wound care and dressing changes
  • Vital signs and point-of-care testing
  • Foley catheter insertion and management
  • Tracheostomy care and suctioning
  • Implementing care plans developed by the RN
  • Patient teaching under the RN's established teaching plan
  • Supervising CNAs/UAPs and Nurse Aide IIs

Conditional IV/Infusion Therapy

NCBON's Infusion Therapy Position Statement covers LPN scope in detail:

  • LPNs may perform peripheral IV therapy after education, training, and competency validation
  • LPNs require continuous availability of an RN who can be on-site when necessary
  • LPNs may infuse fluids and medications (including through established central lines with training and facility policy)
  • LPNs CANNOT administer IV thrombolytic medications, IV conscious sedation, or IV Pitocin during labor/delivery
  • Agency/facility policies must be in place before any IV procedure is assigned
NC note: North Carolina's position statement on IV hydration clinics states that RNs and LPNs may administer IV fluids and medications when authorized by a valid order from a prescriber — but they cannot make medical diagnoses, identify medical problems, or develop medical treatment plans in these settings.

You Cannot RN-Only Functions

  • Comprehensive assessments or independent data interpretation
  • Creating or modifying care plans
  • IV thrombolytics, conscious sedation, or Pitocin during labor
  • Teaching nursing activities to other healthcare personnel
  • Medical diagnosis or developing treatment plans
  • Triage
  • Independent practice

North Carolina LPN-to-RN Bridge Programs

SchoolFormatTimelineDetails
Wake Technical Community CollegeOn-campus + clinical12–16 monthsADN bridge in Raleigh area
Central Piedmont Community CollegeOn-campus + clinical12–18 monthsADN bridge in Charlotte
Excelsior University100% OnlineSelf-pacedOnline + local clinicals, no waitlist

North Carolina Board of Nursing Contact

  • Website: ncbon.com
  • Phone: (919) 782-3211
  • Address: 4516 Lake Boone Trail, Raleigh, NC 27607