[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-327592-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-327592-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","advanced-practice-registered-nurse-application-board-of-nursing","Advanced Practice Registered Nurse Application - Board of Nursing","","This document provides guidance for applying for an Advanced Practice Registered Nurse (APRN) license, including eligibility questions for active duty service members, veterans, and qualifying spouses. It outlines APRN specialty selections, optional dispensing status, total fees and payment/refund rules, and definitions affecting dispensing practices. The application instructions cover required documentation for name changes, how to provide personal and equal opportunity data, and how email notification and public record rules apply.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/advanced-practice-registered-nurse-application-board-of-nursing/327592/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/advanced-practice-registered-nurse-application-board-of-nursing/327592.png","ImageObject",300,407,{"name":42,"@type":43},"Logic","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-22","2026-09-21",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who may qualify for an APRN license reduction based on military status or relationships?","Question",{"text":63,"@type":64},"Active duty members of the United States Armed Services, veterans, spouses of veterans, and spouses of active members may qualify if they answered “Yes” to the listed questions.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is considered “dispensing,” and how does it affect the application?",{"text":68,"@type":64},"Dispensing is selling medicinal drugs to patients in the office. Writing prescriptions or providing complimentary samples does not count as dispensing; dispensing practitioners must submit the required fees and the “Dispensing Application for Advanced Practice Registered Nurse (APRN)” form.",{"name":70,"@type":61,"acceptedAnswer":71},"What information is required for personal details and disclosures in this APRN application?",{"text":72,"@type":64},"The application requires personal information (including name, date of birth, mailing address, and contact numbers) and equal opportunity data. It also includes guidance for email notification and explains that under Florida law email addresses are public records unless an applicant does not provide an email address.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},327592,1790055808,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":55,"slug":125},"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":127,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},1099513958762,"https://ap-avatar.wpscdn.com/avatar/1000023916a998db790?x-image-process=image/resize,m_fixed,w_180,h_180&k=1784791008015729253","Are you an active duty member of the United States Armed Services?  \nAre you a veteran of the United States Armed Services? Are you the spouse of a veteran of the United States Armed Services?  \nAre you the spouse of an active member of the United States Armed Services?  \nIf you answered “Yes” to any of these questions, you may qualify for a reduction in  \nHealth’s commitment to serving members and veterans of the United States Armed  \nForces and their families online at  \nAdvanced Practice Registered Nurse Information  \nRefer to section (s. ) 464 .012, Florida Statutes (F.S. ), and Rule 64B9-4, Florida Administrative Code (F.A.C. )  \nfor Advanced Practice Registered Nurse (APRN) licensure information.  \nDispensing is defined as selling medicinal drugs to patients in the office. Writing prescriptions or providing complimentary samples is not dispensing. If you wish to be a dispensing practitioner, submit the required feesand the “Dispensing Application for Advanced Practice Registered Nurse (APRN)” form as incorporated by reference in Rule 64B9-4 .011, F.A.C.  \nTo request a name change, you must submit proper documentation. Acceptable forms of documentation area copy of a marriage license, divorce decree that indicates the restoration of your maiden name, a court order, driver license or a U.S. Social Security card.  \nDH‐MQA 1124, Revised 4/202 1, Rule 64B9‐4 .002, F.A.C. Page 3 of 19  \nAdvanced Practice Registered Nurse Application  \nBoard of Nursing  \nP.O. Box 6330  \nTallahassee, FL 32314-6330  \nFax: 850-617-6460  \n[Email: mqa.nursingappstatus@flhealth.gov](Email: mqa.nursingappstatus@flhealth.gov)  \nDo Not Write in this Space For Revenue Receipting Only  \nIn order to qualify for an APRN license, you must hold an active Registered Nurse license in any U.S. jurisdiction.  \nSelect one APRN (1711) specialty type: $110.00  \nCertified Nurse Practitioner Certified Nurse Midwife  \nPsychiatric Nurse Practitioner Clinical Nurse Specialist  \nCertified Registered Nurse Anesthetist  \nNationally Certified in (Ex. Adult, Family, OB/GYN, Pediatric):  \nDispensing (Optional) + $100.00 (see page 3)  \nTotal fee of $110.00 includes the following:  \nApplication Fee (non-refundable) $50.00  \nLicensure Fee $50.00  \nUnlicensed Activity Fee $5.00  \nStudent Loan Forgiveness Fund $5.00  \nFees must be paid in the form of a cashier’s check or money order, made payable to the Department of Health. Requests to withdraw or for a refund must be made in writing. Fees are refundable for up to three years from the date of receipt.  \n1. PERSONAL INFORMATION  \nName:   Date of Birth:    \nLast/Surname First Middle MM/DD/YYYY  \nMailing Address: (The address where mail and your license should be sent)  \n\n| Street/P.O. Box Apt. No. City |  |\n| --- | --- |\n| State ZIP Country Home/Cell Telephone (Input without dashes)\u003Cbr>Physical Location: (Required if mailing address is a P.O. Box-This address will be posted on the Department of Health’s website. ) |  |\n| Street | Apt. No. City |\n\nState ZIP Country Work/Cell Telephone (Input without dashes)  \nEQUAL OPPORTUNITY DATA:  \nWe are required to ask that you furnish the following information as part of your voluntary compliance with 41 CFR Part 60-3-Uniform Guidelines on Employee Selection Procedure (1978); 43 FR 38295 and 38296 (August 25, 1978) . This information is gathered for statistical and reporting purposes only and does not in any way affect your candidacy for licensure.  \nGender: Male Race: Native Hawaiian or Pacific Islander Hispanic or Latino White  \nFemale American Indian or Alaska Native Black or African American Asian  \nTwo or More Races  \nEmail Notification: To be notified of the status of your application by email check the “Yes”box and fill in your email address on the line provided. If you choose to be notified via email you will be responsible for checking your email regularly and updating your email address with the board office.  \nYes No Email Address:    \nUnder Florida law, email addresses are public re","cbCaikJQmTlEtx70","https://ap.wps.com/l/cbCaikJQmTlEtx70","pdf",4651064,"English","# Eligibility and licensing guidance\n## APRN specialty selection and fees\n# Personal information and required disclosures\n## Equal opportunity data\n## Email notification and public records\n# Social Security disclosure and applicant background\n## Social Security number use","[{\"question\":\"Who may qualify for an APRN license reduction based on military status or relationships?\",\"answer\":\"Active duty members of the United States Armed Services, veterans, spouses of veterans, and spouses of active members may qualify if they answered “Yes” to the listed questions.\"},{\"question\":\"What is considered “dispensing,” and how does it affect the application?\",\"answer\":\"Dispensing is selling medicinal drugs to patients in the office. Writing prescriptions or providing complimentary samples does not count as dispensing; dispensing practitioners must submit the required fees and the “Dispensing Application for Advanced Practice Registered Nurse (APRN)” form.\"},{\"question\":\"What information is required for personal details and disclosures in this APRN application?\",\"answer\":\"The application requires personal information (including name, date of birth, mailing address, and contact numbers) and equal opportunity data. It also includes guidance for email notification and explains that under Florida law email addresses are public records unless an applicant does not provide an email address.\"}]","Advanced Practice Registered Nurse Application - Board of Nursing | PDF",1789977625,48]