How long is Paramedic school in Tennessee?

Paramedic programs in Tennessee typically run about 1,000–1,800 hours, often as a 1–2 year college program of classroom, lab, and clinical time.

How often does a Tennessee Paramedic certification renew?

Tennessee renews EMS certifications every 2 years through the Tennessee Department of Health, EMS Division, with continuing education required each cycle.

Can I transfer my Paramedic certification to Tennessee?

NREMT + Tennessee EMS application. Tennessee also participates in the EMS Compact (REPLICA).

Paramedic requirements by state / TN

Paramedic requirements in Tennessee.

Q: Do you need NREMT certification to work as a Paramedic in Tennessee?

Yes. Tennessee is an EMS Compact state; NREMT certification is required for licensure.

What it takes to certify, renew, and transfer a Paramedic credential in Tennessee — plus the official Tennessee Department of Health, EMS Division link so you can confirm every detail before you apply.

Verify first

State rules, fees, and forms change. Treat this page as orientation, then confirm with the Tennessee Department of Health, EMS Division. Pass the EMT is not a licensing authority.

Tennessee Paramedic certification at a glance

NREMT required?	Yes
Approximate program length	1,000–1,800 hours, often as a 1–2 year college program
Prerequisites	You'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
Recertification cycle	2 years
Psychomotor (skills) exam	NREMT or Tennessee EMS-approved site
Reciprocity / transferring in	NREMT + Tennessee EMS application
EMS Compact (REPLICA) member	Yes

How to become a Paramedic in Tennessee

1. Meet the prerequisites. You'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
2. Finish an approved program. Expect roughly 1,000–1,800 hours, often as a 1–2 year college program of lecture, lab, and field/clinical time at a Tennessee-approved training center.
3. Pass the cognitive exam. Sit the NREMT computer-adaptive Paramedic cognitive exam at a Pearson VUE test center.
4. Pass the skills exam. NREMT or Tennessee EMS-approved site.
5. Apply for state certification. Submit your application to the Tennessee Department of Health, EMS Division, then recertify every 2 years.

Paramedic scope of practice in Tennessee

A Paramedic in Tennessee typically works with advanced airway management including intubation, 12-lead ECG interpretation, manual defibrillation and cardioversion, needle decompression, and a full ALS drug box. Your exact scope is set by Tennessee EMS rules and your agency's medical director, so protocols vary between services — always practice to your local protocol.

Paramedic medication list →

Transferring a Paramedic card into Tennessee

NREMT + Tennessee EMS application.

Tennessee participates in the EMS Compact (REPLICA), which grants a privilege to practice across member state lines for qualifying calls — but it does not replace state certification for a permanent move.

Tennessee is an EMS Compact state; NREMT certification is required for licensure.

Official Tennessee Department of Health, EMS Division →

Free Paramedic practice test

Scenario questions with rationales. No signup required.

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How to pass the NREMT

Study plan, question counts, and exam-day strategy.

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NREMT® is a registered trademark of the National Registry of Emergency Medical Technicians. Pass the EMT is an independent study aid and is not affiliated with, endorsed by, or sponsored by NREMT. Data compiled from public Tennessee EMS resources and subject to change.