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Which US state should I apply to first as an international nurse?

It depends on your SSN status, your prior credential evaluator, and the state board's English / fingerprint rules. Common starts: Pennsylvania, Illinois, New York, Texas.

Verified answerAnswered by Pathway advisorΒ· Last reviewed 24 Apr 2026

The answer

There is no single "best" state β€” there is the state that fits your specific profile. Three filters do most of the work:

1) **SSN status.** Some boards historically accepted NCLEX registration without a US SSN; some now require one. If you don't have an SSN, prioritise boards with no-SSN routes (Illinois and New York have been historic options β€” confirm current policy).

2) **Prior credential evaluator.** If you already paid CGFNS, look for boards that accept CGFNS without a re-evaluation. If you have a WES or ECE report, check whether the board takes it (most don't β€” you'll pay CGFNS too).

3) **English-evidence rules.** Some boards waive English if your nursing programme was English-taught; others always require IELTS / OET. The board's "International Applicants" page is the source of truth.

Pennsylvania, Illinois, New York, and Texas are common first-state picks for African candidates. Florida and California are popular but slower; California is one of the strictest reviewers.

If that was confusing, here it is in plain English

Pick the state that matches what you already have (SSN or no SSN, CGFNS or no CGFNS, English programme or not). Don't pick by Instagram opinion.

Your next step

Browse the 51-state directory; each card flags credential / SSN / English notes for international nurses.

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