Florida's Nursing Workforce Characteristics: An Analysis of Florida's 2023-2024 Licensure Data

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Florida Center for Nursing Headquartered at the University of South Florida College of Nursing Tampa, FL

Report Citation Information: Florida Center for Nursing (2026). Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023-2024 Licensure Data. Tampa, FL.

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Report prepared by: Rayna Letourneau, PhD, RN, FAAN Executive Director, Florida Center for Nursing Associate Professor, University of South Florida College of Nursing

Acknowledgements The Florida Center for Nursing (FCN) extends its appreciation to the many individuals and organizations whose support made this report possible. We sincerely thank Florida’s LPNs, RNs, and APRNs for completing the FCN Nursing Workforce Survey during licensure renewal; their participation provides the essential data that underpin this analysis.

A special thanks to the University of South Florida College of Nursing Communications and Marketing team for their contributions to the editing, layout, and design of this technical report, and for their support in preparing it for publication.

We gratefully acknowledge the Florida Department of Health, Division of Medical Quality Assurance, and the Florida Board of Nursing for their continued partnership and for facilitating access to licensure and renewal data that enable FCN to fulfill its statutory mandate. FCN also recognizes the contributions of the University of South Florida IT Department and the University of South Florida College of Nursing, whose technical and institutional support strengthen our data systems and operations.

We appreciate the assistance of the GlobalData Health Workforce Modeling team for their work in supporting data management and infrastructure, with specific thanks to Clark Ruttinger and Patrick Zarek. Finally, we acknowledge the efforts of Jo Serpico, FCN Data Analyst, for his contributions to the preparation and management of the datasets used in this report.

i | Acknowledgements

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Executive Summary Executive Summary

Purpose & Mandate The Florida&Center for Nursing (FCN), under §464.0195, Florida Statutes, monitors and Purpose Mandate reports on the supply, and educational capacity of Florida’s nursing workforce.

The Florida Center for demand, Nursing (FCN), under §464.0195, Florida Statutes, monitors and This report provides an updated analysis based on data collected during the 2023–2024 reports on the supply, demand, and educational capacity of Florida’s nursing workforce. licensure renewal cycle, oKering actionable insights for policymakers, educators, health This report provides an updated analysis based on data collected during the 2023–2024 care employers, industry stakeholders. licensure renewaland cycle, oKering actionable insights for policymakers, educators, health care employers, and industry stakeholders.

Data & Methods FCN analyzed responses from its biennial nursing workforce survey administered at Data & Methods license renewalresponses for LPNs,from RNs,its and APRNs.nursing After validation cleaning, FCN applied a FCN analyzed biennial workforceand survey administered at standard rule tofor avoid double nurses with multipleand active licenses (counting license renewal LPNs, RNs, counting and APRNs. After validation cleaning, FCN applied a each nurse once at the highest license level).

Analyses included descriptive statistics, standard rule to avoid double counting nurses with multiple active licenses (counting trend nurse comparisons, andhighest selectedlicense regional assessments.

A key limitation is potential each once at the level).

Analyses included descriptive statistics, misclassification when practice below their highest active license.is potential trend comparisons, andnurses selected regional assessments.

A key limitation misclassification when nurses practice below their highest active license.

Workforce Size & Participation Workforce Size & Participation • Florida reported 497,311 active nursing licenses in 2023–2024 (LPN: 63,758; RN: •

• •

375,882; APRN: 57,671), increase of 55,950 2020–2021, largely due RN: to RN Florida reported 497,311 an active nursing licensessince in 2023–2024 (LPN: 63,758; growth 375,882;(+49,213).

APRN: 57,671), an increase of 55,950 since 2020–2021, largely due to RN growth 61.4% of(+49,213). nurses completed the survey, down from 83% in 2020–2021, signaling a need engagement to support 61.4% to of strengthen nurses completed the survey, downplanning from 83%accuracy. in 2020–2021, signaling a need to strengthen engagement to support planning accuracy.

Licensure & Mobility Licensure & Mobility • Florida nurses are less likely to hold multistate licenses than U.S. averages (LPNs: •

21.4% 32.6%;are RNs: vs. to 35.9%), potentiallylicenses aKecting workforce flexibility and Floridavs. nurses less21% likely hold multistate than U.S. averages (LPNs: cross-jurisdictional responsiveness.

21.4% vs. 32.6%; RNs: 21% vs. 35.9%), potentially aKecting workforce flexibility and cross-jurisdictional responsiveness.

Demographics •

Florida’s nursing workforce is more racially and ethnically diverse than national benchmarks (higher representation of Black and Hispanic nurses).

•

The workforce is older overall: only 7.2% of nurses are under age 30, indicating pipeline risk as retirements rise.

Education & Trends

Executive Summary | ii

pipeline risk as retirements rise.

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Education & Trends •

Among RNs, BSN is the most common highest degree (46.5%), with associate/diploma preparation declining from 56% (2017) to 40% (2023).

•

Graduate degree-prepared RNs increased from 7% to 13% (2017–2023).

•

A gap persists in doctorally prepared RNs (PhD in nursing: 0.3% in Florida vs. 1.6% U.S.), which may constrain faculty recruitment and nursing education program expansion.

Practice Characteristics •

Setting: LPNs are concentrated in elderly care (37.9%); RNs practice primarily in hospitals (64%); APRNs are split across hospitals (33.6%) and physician occes (26.4%). Academic roles remain one of the smallest employment categories across all license types, challenging eKorts to grow educational capacity.

•

Specialties: LPNs most commonly practice in geriatrics; RNs are more widely dispersed; APRNs concentrate in adult/family health (27.1%).

•

Hours & Status: Most RNs and APRNs work 21–40 hours/week; a majority of LPNs report ≤20 hours/week, suggesting some rely on multiple roles. Full-time status predominates across all groups.

•

Years Licensed: LPNs and RNs skew more long-tenured; APRNs are newer cohorts, reflecting recent growth.

Intentions & Outlook (Five-Year Horizon) •

Most nurses plan to work the same amount (LPNs: 46.7%; RNs: 54.8%; APRNs: 65.9%).

•

Roughly one-third of LPNs and RNs plan to advance education, signaling continued upskilling.

•

12.2% of RNs intend to leave or retire, elevating near-term replacement needs.

Implications for Florida •

Sustained RN growth is positive, but aging demographics, lower multistate licensure, and limited academic stacng pose strategic risks to workforce stability, training capacity, and access.

•

Declining survey response rates reduce visibility into real-time workforce dynamics, warranting targeted outreach and streamlined data collection.

iii | Executive Summary

•

12.2% of RNs intend to leave or retire, elevating near-term replacement needs.

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Implications for Florida •

Sustained RN growth is positive, but aging demographics, lower multistate licensure, and limited academic stacng pose strategic risks to workforce stability, training capacity, and access.

•

Declining survey response rates reduce visibility into real-time workforce dynamics, warranting targeted outreach and streamlined data collection.

Recommendations 1. Reinforce pipeline & retention: Expand clinical placements, transition-to-practice supports, and targeted retention initiatives in high-need settings (elderly care, hospital medical-surgical settings, behavioral health).

2. Expand educator capacity: Invest in faculty recruitment/retention (doctoral pathways, compensation incentives) to sustain program growth.

3. Enhance mobility: Encourage multistate licensure uptake to improve surge capacity and regional responsiveness.

4. Strengthen data quality: Improve survey participation through integrated renewal prompts, reminders, and stakeholder partnerships to restore response rates.

Conclusion Florida’s nursing workforce is larger and more diverse than in prior cycles, but aging trends, faculty shortages, and participation gaps present material risks. Consistent with FCN’s statutory mission, these findings inform evidence-based policies and investments to ensure a succient, well-prepared nursing workforce for Florida’s growing and aging population.

Executive Summary | iv

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Table of Contents List of Tables and Figures........................................................................................ 2 List of Acronyms & Abbreviations......................................................................... 5 Introduction.................................................................................................................. 6 Methods........................................................................................................................ 7 Findings......................................................................................................................... 8 Florida’s Nursing Workforce Demographics Characteristics................................... 9 Florida’s Nursing Workforce Practice Characteristics.............................................. 13 Regional Nursing Workforce in Florida..................................................................... 17 Northwest Region................................................................................................. 21 North Central Region............................................................................................ 25 Northeast Region.................................................................................................. 29 East Central Region.............................................................................................. 32 West Central Region............................................................................................. 35 Southeast Region.................................................................................................. 38 Southwest Region................................................................................................. 41 South Region......................................................................................................... 44

Limitations.................................................................................................................... 47

v | Table of Contents

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

List of Tables and Figures Tables Table 1 ............................................................................................................................ 8 Active Licenses and Survey Response Rates by Nursing License Type, 2023–2024 Licensure Cycle

Table 2 ............................................................................................................................ 8 Multistate Licensure by Nursing License Type, 2023–2024 Licensure Cycle

Table 3 ............................................................................................................................ 9 Age Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

Table 4 ............................................................................................................................ 10 Sex Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

Table 5 ............................................................................................................................ 10 Race and Ethnicity Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

Table 6 ............................................................................................................................ 11 Highest Level of Education by License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

Table 7 ............................................................................................................................ 12 Longitudinal Comparison of RN Education Levels, 2017–2023

Table 8 ............................................................................................................................ 13 Workplace Settings of Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

Table 9 ............................................................................................................................ 14 Specialty Distribution of Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

Table 10 .......................................................................................................................... 15 Employment Status and Work Hour Patterns by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

Table 11 .......................................................................................................................... 16 Number of Years Licensed by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

Table 12 .......................................................................................................................... 16 Intention for Future Work by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

Table 13 .......................................................................................................................... 21 Average Age and Active Licenses in the Northwest Region, 2023–2024 Licensure Cycle

Table 14 .......................................................................................................................... 22 Ages of Nurses in the Northwest Region, 2023–2024 Licensure Cycle

Table 15 .......................................................................................................................... 22 Sex Ratios of Nurses in the Northwest Region, 2023-2024 Licensure Cycle

Table 16 .......................................................................................................................... 23 Race and Ethnicity of Nurses in The Northwest Region, 2023–2024 Licensure Cycle

Table 17 .......................................................................................................................... 24 Highest Nursing Degrees Earned by Nurses in the Northwest Region, 2023–2024 Licensure Cycle

Table 18 .......................................................................................................................... 25 Average Age and Active Licenses in the North Central Region, 2023–2024 Licensure Cycle List of Tables and Figures | 2

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 19 .......................................................................................................................... 26 Ages of Nurses in the North Central Region, 2023–2024 Licensure Cycle

Table 20 .......................................................................................................................... 26 Sex Ratios of Nurses in the North Central Region, 2023–2024 Licensure Cycle

Table 21 .......................................................................................................................... 27 Race and Ethnicity of Nurses in the North Central Region, 2023–2024 Licensure Cycle

Table 22 .......................................................................................................................... 28 Highest Nursing Degree Earned by Nurses in the North Central Region, 2023–2024 Licensure Cycle

Table 23 .......................................................................................................................... 29 Average Age and Active Licenses in the Northeast Region, 2023–2024 Licensure Cycle

Table 24 .......................................................................................................................... 29 Ages of Nurses in the Northeast Region, 2023–2024 Licensure Cycle

Table 25 .......................................................................................................................... 30 Sex Ratios of Nurses in the Northeast Region, 2023–2024 Licensure Cycle

Table 26 .......................................................................................................................... 30 Race and Ethnicity of Nurses in the Northeast Region, 2023–2024 Licensure Cycle

Table 27 .......................................................................................................................... 31 Highest Nursing Degree Earned by Nurses in the Northeast Region, 2023–2024 Licensure Cycle

Table 28 .......................................................................................................................... 32 Average Age and Active Licenses in the East Central Region, 2023–2024 Licensure Cycle

Table 29 .......................................................................................................................... 33 Ages of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Table 30 .......................................................................................................................... 33 Sex Ratios of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Table 31 .......................................................................................................................... 34 Race and Ethnicity of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Table 32 .......................................................................................................................... 34 Highest Nursing Degree Earned by Nurses in the East Central Region, 2023–2024 Licensure Cycle

Table 33 .......................................................................................................................... 35 Average Age and Active Licenses in the West Central Region, 2023–2024 Licensure Cycle

Table 34 .......................................................................................................................... 36 Ages of Nurses in the West Central Region, 2023–2024 Licensure Cycle

Table 35 .......................................................................................................................... 36 Sex Ratios of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Table 36 .......................................................................................................................... 37 Race and Ethnicity of Nurses in the West Central Region, 2023–2024 Licensure Cycle

Table 37 .......................................................................................................................... 37 Highest Nursing Degree Earned by Nurses in the West Central Region, 2023–2024 Licensure Cycle

3 | List of Tables and Figures

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 38 .......................................................................................................................... 38 Average Age and Active Licenses in the Southeast Region, 2023–2024 Licensure Cycle

Table 39 .......................................................................................................................... 38 Ages of Nurses in the Southeast Region, 2023–2024 Licensure Cycle

Table 40 .......................................................................................................................... 39 Sex Ratios of Nurses in the Southeast Region, 2023–2024 Licensure Cycle

Table 41 .......................................................................................................................... 39 Race and Ethnicity of Nurses in the Southeast Region, 2023–2024 Licensure Cycle

Table 42 .......................................................................................................................... 40 Highest Nursing Degree Earned by Nurses in the Southeast Region, 2023–2024 Licensure Cycle

Table 43 .......................................................................................................................... 41 Average Age and Active Licenses in the Southwest Region, 2023–2024 Licensure Cycle

Table 44 .......................................................................................................................... 41 Ages of Nurses in the Southwest Region, 2023–2024 Licensure Cycle

Table 45 .......................................................................................................................... 42 Sex Ratios of Nurses in the Southwest Region, 2023–2024 Licensure Cycle

Table 46 .......................................................................................................................... 42 Race and Ethnicity of Nurses in the Southwest Region, 2023–2024 Licensure Cycle

Table 47 .......................................................................................................................... 43 Highest Nursing Degree Earned by Nurses in the Southwest Region, 2023–2024 Licensure Cycle

Table 48 .......................................................................................................................... 44 Average Age and Active Licenses in the South Region, 2023–2024 Licensure Cycle

Table 49 .......................................................................................................................... 45 Ages of Nurses in the South Region, 2023–2024 Licensure Cycle

Table 50 .......................................................................................................................... 45 Sex Ratios of Nurses in the South Region, 2023–2024 Licensure Cycle

Table 51 .......................................................................................................................... 46 Race and Ethnicity of Nurses in the South Region, 2023–2024 Licensure Cycle

Table 52 .......................................................................................................................... 46 Highest Nursing Degree Earned by Nurses in the South Region, 2023–2024 Licensure Cycle

Figures Figure 1 ........................................................................................................................... 18 Regional Map of Florida

Figure 2 ........................................................................................................................... 19 Regional Distribution of Florida’s Nursing Workforce, 2023-2024 Licensure Cycle

Figure 3 ........................................................................................................................... 20 Regional Distribution of Nurses by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

List of Tables and Figures | 4

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

List of Acronyms & Abbreviations Acronym/ Abbreviation

Definition

ADN

Associate Degree in Nursing

APRN

Advanced Practice Registered Nurse

BSN

Bachelor of Science in Nursing

DNP

Doctor of Nursing Practice

EC

East Central

FCN

Florida Center for Nursing

LPN

Licensed Practical Nurse

NC

North Central

NE

Northeast

NW

Northwest

RN

Registered Nurse

SE

Southeast

SW

Southwest

U.S.

United States

WC

West Central

5 | List of Acronyms and Abbreviations

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Introduction The Florida Center for Nursing (FCN) is statutorily mandated under Section 464.0195, Florida Statutes, to monitor and report on the supply, demand, and educational capacity of Florida’s nursing workforce. This mandate underscores the state’s commitment to developing a sustainable nursing workforce capable of meeting the health care needs of Florida’s growing and aging population. In alignment with this charge, FCN conducts ongoing analyses of workforce data to identify emerging trends, understand regional variations, and provide timely and actionable information to policymakers, educators, health care employers, and industry stakeholders.

This report contributes to that statutory mission by presenting an updated analysis of Florida’s nursing workforce based on data collected during the licensure renewal process. The findings offer insight into employment patterns, workforce participation, educational progression, and other key indicators essential for projecting future nursing supply. By consolidating and examining these data at regular intervals, FCN supports evidence-informed decision-making that strengthens the state’s health care system and helps ensure Floridians have access to a sufficient and well-prepared nursing workforce.

Introduction | 6

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Methods Data for this report were obtained from the Florida Center for Nursing’s biennial nursing workforce survey, administered in conjunction with the license renewal process for all Methods licensed practical nurses (LPNs), registered nurses (RNs), and advanced practice registered nurses (APRNs) in Florida. Because Florida nurses renew their licenses every two this method a regular comprehensive dataset aligned with the Datayears, for this report wereprovides obtained from theand Florida Center for Nursing’s biennial nursing requirements outlined in Sectionin464.0195, Florida which directs FCN to workforce survey, administered conjunction withStatutes, the license renewal process forcollect, all analyze, and report information on the supply of nurses in the state. licensed practical nurses (LPNs), registered nurses (RNs), and advanced practice registered nurses (APRNs) in Florida. Because Florida nurses renew their licenses every The on employment status, practice two workforce years, this survey methodcollected providesself-reported a regular andinformation comprehensive dataset aligned with the setting, work hours, geographic location, educational attainment, and other requirements outlined in Section 464.0195, Florida Statutes, which directs FCN to collect, characteristics relevant for assessing current future availability of nurses. analyze, and report information on thethe supply of and nurses in the state.

After data extraction, FCN performed validation, cleaning, and categorization to ensure consistency andsurvey analytic reliability.

The workforce collected self-reported information on employment status, practice setting, work hours, geographic location, educational attainment, and other To avoid doublerelevant counting hold more one nursing license (e.g., RN + characteristics forindividuals assessing who the current and than future availability of nurses.

APRN or LPN + RN), FCN a standard classification rule across the dataset.

When After data extraction, FCNapplied performed validation, cleaning, and categorization to ensure a respondentand holds multiple active nursing licenses, we assumed the nurse was consistency analytic reliability. practicing at the highest level of licensure and counted them once, categorized under the license type withcounting the highest scope ofwho practice > RN > LPN).

This assumption To avoid double individuals hold (e.g., more APRN than one nursing license (e.g., RN + aligns with common workforce analytic approaches; however, it represents an important APRN or LPN + RN), FCN applied a standard classification rule across the dataset.

When limitation.

The survey does not validate the licensure level at which the nurse is a respondent holds multiple active nursing licenses, we assumed the nurse was practicing, at northe does it confirm whether theand nurse splits time roles. As a result, is practicing highest level of licensure counted themacross once, categorized under itthe possible thatwith some may of bepractice misclassified they >are in a license type theindividuals highest scope (e.g., ifAPRN RNactively > LPN).employed This assumption lower despite holding analytic a higherapproaches; level license.however, This limitation should an be important aligns level with role common workforce it represents considered when interpreting role distributions, and limitation. The survey does notworkforce validate counts, the licensure level at which thecapacity nurse is estimates. practicing, nor does it confirm whether the nurse splits time across roles. As a result, it is possible that some individuals may be misclassified if they are actively employed in a Descriptive statistics, trend analysis, andlevel comparative assessments regionbeand nurse lower level role despite holding a higher license. This limitationby should type were used evaluate workforce When considered whentointerpreting workforcecapacity counts, characteristics. role distributions, andavailable capacity and applicable, local and statewide findings were compared to national nursing workforce estimates. data1 and U.S. Census estimates2 to contextualize Florida’s workforce trends within broader national patterns.

Descriptive statistics, trend analysis, and comparative assessments by region and nurse type were used to evaluate workforce capacity characteristics. When available and 1 Smiley, R.from A., Kaminski-Ozturk, N., Reid, M., Burwell, Oliveira, Shobo,nursing Y., Allgeyer, R., Zhong, E., Findings thisand aggregated dataset inform the FCN’sC.technical reports, which applicable, local statewide findings were P., compared toM.,national nursing workforce O’Hara, C., Volk, A., & Martin, B. (2025). The 2024 National Nursing Workforce Survey. Journal of Nursing 1 2 are two years and state workforce and16(1), U.S.every Census estimates toinform contextualize Florida’splanning, workforceeducational trends within datapublished Regulation, S1-S88.

2 investments, and patterns. policy development.

U.S. Census Bureau, Population Division. (2024). Annual estimates of the resident population for selected broader national

age groups. https://www.census.gov 1

Smiley, R. A., Kaminski-Ozturk, N., Reid, M., Burwell, P., Oliveira, C. M., Shobo, Y., Allgeyer, R., Zhong, E., O’Hara, C., Volk, A., & Martin, B. (2025). The 2024 National Nursing Workforce Survey. Journal of Nursing Regulation, 16(1), S1-S88.

2 U.S. Census Bureau, Population Division. (2024). Annual estimates of the resident population for selected age groups. https://www.census.gov 7 | Methods

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Findings During the 2023–2024 license renewal cycle, Florida had 497,311 active nursing licenses, including 63,758 LPNs, 375,882 RNs, and 57,671 APRNs, as shown in Table 1. This represents an increase of 55,950 licenses compared with the 2020–2021 cycle, driven primarily by growth in RN licensure. Between the 2020–2021 and 2023–2024 cycles, the number of RN licenses increased by 49,213.

A total of 305,247 nurses in Florida (61.4%) responded to the FCN Nursing Workforce Survey during the 2023–2024 cycle. In comparison, 366,235 nurses (83%) responded in the 2020–2021 cycle. Although the number of nurses in the workforce increased, the survey response rate decreased by 21.6 percentage points since the 2020–2021 licensure cycle.

Table 1 Active Licenses and Survey Response Rates by Nursing License Type, 2023–2024 Licensure Cycle Nursing License LPN RN APRN Statewide Total

Active Licenses 63,758 375,882 57,671 497,311

Survey Responses 56,589 218,887 29,771 305,247

Response Rate 88.8% 58.2% 51.6% 61.4%

Multistate Licensure Table 2 compares the share of nurses holding a multistate license in Florida with U.S. averages for the 2023–2024 license cycle. Florida’s rates are lower across both license types, LPNs: 21.4% vs. 32.6% (–11.2 percentage points) and RNs: 21% vs. 35.9% (–14.9 percentage points).

Table 2 Multistate Licensure by Nursing License Type, 2023–2024 Licensure Cycle Nursing License LPN RN

Florida 21.4% 21%

U.S. 32.6% 35.9%

Findings | 8

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Florida’s Nursing Workforce Demographic Characteristics Age Table 3 compares the age distribution of Florida’s nursing workforce with the national nursing workforce, as well as Florida and U.S. population demographics. Younger nurses remain underrepresented: only 7.2% of Florida nurses are 29 or younger. Mid-career nurses dominate the workforce, with the 30–49 age range accounting for most of Florida’s LPNs, RNs, and APRNs, and Florida APRNs showing the highest concentration in the 40–49 age group (30.9%). These patterns indicate a maturing workforce with a relatively narrow pipeline of younger entrants, raising long-term concerns for workforce sustainability.

Table 3 Age Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

Age 29 or younger 30-39 40 – 49 50 - 59 60 or older

FL LPNs

FL RNs

FL APRNs

FL Population

U.S. LPNs

U.S. RNs

U.S. Population

6.4%

8.3%

1%

21%

7%

7.9%

37%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

15.6% 14.5% 15.2%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

13.7% 12.3% 12.4%

27.6%

24%

18.1%

33.7%

27.8%

29.9%

21.2%

Sex Florida continues to have a higher proportion of male nurses compared with the national average. As shown in Table 4, male nurses constitute 12.8% of the nursing workforce in Florida, compared with 10.4% nationally. The proportion of male nurses in Florida is even higher within advanced practice roles, where men represent 15.8% of APRNs. Table 4 Sex Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

9 | Findings

Sex Female Male Nonbinary

FL LPNs 90.1% 9.8% NA

FL RNs 86.8% 13.2% NA

FL APRNs 84.1% 15.8% NA

U.S. LPNs 90.8% 9.1% 0.2%

U.S. RNs 89.3% 10.4% 0.4%

Florida, compared with 10.4% nationally. The proportion of male nurses in Florida is even Florida’s Nursing Workforce Characteristics: An Analysis of 15.8% Florida’s 2023–2024 Licensure Data higher within advanced practice roles, where men represent of APRNs. Table 4 Sex Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle FL LPNs 90.1% 9.8% NA

Sex Female Male Nonbinary

FL RNs 86.8% 13.2% NA

FL APRNs 84.1% 15.8% NA

U.S. LPNs 90.8% 9.1% 0.2%

U.S. RNs 89.3% 10.4% 0.4%

Race and Ethnicity The racial and ethnic composition of Florida’s nursing workforce differs notably from national patterns. Florida has a significantly lower proportion of White nurses (45.4 % LPNs, 52.9% RNs, 54% APRNs) compared with the U.S. (64.8% LPNs, 76.6% RNs), and a higher representation of Black nurses (30.7% LPNs vs. 20.1% nationally, 14.4% RNs vs.

8.6% nationally). Hispanic nurses also make up a larger share of the workforce in Florida (13.4% LPNs, 19.6% RNs, 21.4% APRNs) relative to the national nursing workforce (11.7% LPNs, 7.2% RNs), reflecting the broader demographics of the state population. These data indicate that Florida’s nursing workforce is more racially and ethnically diverse than the U.S. nursing workforce overall.

Table 5 Race and Ethnicity Distribution by Nursing License Type, Florida vs. U.S., 2023–2024 Licensure Cycle

Asian

FL LPNs 2.4%

FL RNs 6.4%

FL APRNs 5.4%

U.S. LPNs 5.2%

U.S. RNs 7.9%

FL Population 3.3%

U.S. Population 6.4%

Black

30.7%

14.4%

12.9%

20.1%

8.6%

15.5%

13.7%

Hispanic Native Not Provided Other White

13.4% 0.8% 5.4% 1.8% 45.4%

19.6% 0.6% 4.7% 1.4% 52.9%

21.4% 0.6% 4.4% 1.3% 54%

11.7% 1% NA 5.4% 64.8%

7.2% 0.5% NA 3.5% 76.6%

28.3% 0.6% NA 0.1% 52.1%

19.5% 1.3% NA 3.4% 58.4%

Race/Ethnicity

Findings | 10

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Education Education Table Table 6 6 compares compares the the highest highest nursing nursing education education levels levels of of LPNs, LPNs, RNs, RNs, and and APRNs APRNs in in Florida with those of the national workforce.

Among Florida RNs, the most common Florida with those of the national workforce. Among Florida RNs, the most common highest highest degree degree is is the the baccalaureate baccalaureate (46.5%), (46.5%), followed followed by by the the associate associate degree degree (36.6%), (36.6%), consistent with with national national trends trends toward toward BSN BSN preparation. preparation. Notably, Notably, only only 0.3% 0.3% of of Florida’s Florida’s consistent RN workforce workforce hold hold a a PhD PhD in in Nursing, Nursing, compared compared with with 1.6% 1.6% nationally, nationally, indicating indicating a a smaller smaller RN pipeline pipeline of of doctorally doctorally prepared prepared nurses nurses in in the the state. state. This This gap gap may may have have implications implications for for Florida’s ability to recruit and retain qualified nursing faculty, particularly as demand Florida’s ability to recruit and retain qualified nursing faculty, particularly as demand for for academic educators continues to grow. academic educators continues to grow.

Table Table 6 6 Highest Level Level of of Education Education by

by License License Type, Type, Florida Florida vs. vs. U.S., U.S., 2023–2024 2023–2024 Licensure Licensure Cycle Cycle Highest Highest Highest Nursing Nursing Degree Degree Vocational/PN Vocational/PN Certificate Certificate Diploma Diploma Associate Associate Degree Degree Baccalaureate Baccalaureate Master's Master's DNP DNP PhD PhD Nursing Nursing Other Doctoral Doctoral Other

FL FL LPNs LPNs

FL FL RNs RNs

FL FL APRNs APRNs

U.S. U.S. LPNs LPNs

U.S. U.S. RNs RNs

75.7% 75.7%

0.1% 0.1%

0% 0%

82.1% 82.1%

0% 0%

13.2% 13.2% 9.5% 9.5% 1.4% 1.4% 0.1% 0.1% 0% 0% 0% 0% 0.1% 0.1%

3.3% 3.3% 36.6% 36.6% 46.5% 46.5% 11.7% 11.7% 1.3% 1.3% 0.3% 0.3% 0.1% 0.1%

0.4% 0.4% 0.7% 0.7% 1.8% 1.8% 81% 81% 14.3% 14.3% 1.3% 1.3% 0.5% 0.5%

10.1% 10.1% 6.6% 6.6% 1.2% 1.2% 0% 0% 0% 0% 0% 0% 0% 0%

4.3% 4.3% 22.8% 22.8% 47.8% 47.8% 20.6% 20.6% 2.6% 2.6% 1.6% 1.6% 0.3% 0.3%

The The educational educational composition composition of of Florida’s Florida’s RN RN workforce workforce has has shifted shifted notably notably over over time. time.

Between 2017 and 2023, the proportion of RNs whose highest degree was an associate Between 2017 and 2023, the proportion of RNs whose highest degree was an associate degree degree or or diploma diploma declined declined from from 56% 56% to to 40%, 40%, reflecting reflecting a a steady steady decrease decrease in in entry-level entry-level associate degree degree preparation. preparation. During During the the same same period, period, the the percentage percentage of of RNs RNs holding holding a a associate BSN increased increased from from 36% 36% to to 47%, 47%, indicating indicating continued continued progress progress toward toward a a more more highly highly BSN educated nursing nursing workforce. workforce. Additionally, Additionally, the the share share of of RNs RNs with with a a graduate graduate degree degree rose rose educated from from 7% 7% to to 13%, 13%, suggesting suggesting growth growth in in advanced advanced education education attainment attainment and and potential potential expansion of the pool eligible for advanced practice roles. expansion of the pool eligible for advanced practice roles.

11 | Findings

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 7 Longitudinal Comparison of RN Education Levels, 2017–2023 RN Education Attainment ADN/Diploma BSN Graduate (any)

2017 56% 36% 7%

2019 49% 43% 8%

2021 44% 45% 11%

2023 40% 47% 13%

Findings | 12

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Florida’s Nursing Workforce Practice Characteristics Workplace Settings Table 8 summarizes the primary workplace settings of Florida’s nursing workforce by licensure type. Over one-third of LPNs work in elderly care (37.9%), while nearly two-thirds of RNs are employed in hospital settings (64%). Among APRNs, 33.6% practice in hospitals and 26.4% in physician offices. Across all licensure groups, academic settings represent the smallest share of employment, highlighting a limited supply of nurses working in education roles. This may pose challenges for maintaining and expanding nursing program capacity in the state.

Table 8 Workplace Settings of Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

Academic Setting Ambulatory Care Carceral Community Health Elderly Care Home Health Hospice Hospital Insurance Other Physician Office Telehealth Urgent Care/Walk-in

FL LPNs

FL RNs

FL APRNs

0.5% 2.1% 4.5% 3% 37.9% 16.7% 2.7% 9.1% 1.8% 9.3% 10.3% 1% 1.1%

1.1% 4.5% 0.9% 2.3% 4.8% 5.6% 2.3% 64% 1.6% 7.5% 3.4% 1.5% 0.5%

2.1% 7.5% 1.1% 5.3% 3.4% 2.5% 0.7% 33.6% 0.1% 8.9% 26.4% 4.4% 3.8%

Specialty Distribution Table 9 presents the distribution of Florida nurses across clinical specialties by licensure type. Among LPNs, geriatric/gerontology is the most common specialty (25.5%). RN specialties are more widely dispersed. APRNs are most concentrated in adult/family health (27.1%).

13 | Findings

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 9 Specialty Distribution of Florida’s Nursing Workforce, 2023–2024 Licensure Cycle Specialty Adult/Family Health Anesthesia Cardiology Community Critical Care Emergency/Trauma Geriatric/Gerontology Home Health Information Technology Maternal-Child Health Medical Surgical Neonatal Nephrology Occupational health Oncology Operating Room Other Other Acute care Palliative Care/Hospice Pediatrics Perioperative Psychiatric/Mental Health/Substance Abuse Public Health Rehabilitation (non-psychiatric) School Health Telehealth Women's Health/OB-GYN

FL LPNs 7.4% 0.1% 0.9% 1.6% 0.8% 1.2% 25.5% 14% 0.4% 0.2% 4.7% 0.1% 0.5% 0.3% 1% 0.3% 16.4% 1.3% 2.7% 4.5% 0.2%

FL RNs 3.5% 0.8% 4% 1% 11.3% 6.8% 3.4% 5.4% 0.7% 2% 11.5% 1.9% 1.2% 0.5% 2.9% 4% 17.5% 2.1% 2.1% 3.2% 3.4%

FL APRNs 27.1% 12.5% 3.2% 0.8% 3.3% 2.8% 3.5% 1.1% 0.1% 0.6% 1.5% 1.2% 0.7% 0.6% 2.8% 0.7% 14.6% 2.5% 1.4% 4.8% 0.4%

4.4% 1% 6.1% 2.7% 0.7% 1.1%

3.5% 0.7% 2.1% 1% 1.1% 2.4%

7.5% 0.5% 0.4% 0.2% 1.7% 3.5%

Findings | 14

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Employment Table 10 shows notable variation in weekly work hours across license types in Florida’s nursing workforce. Most LPNs (60.1%) work up to 20 hours per week, compared with 24.4% of RNs and 26% of APRNs, indicating that many LPNs may rely on multiple part-time roles to achieve full-time employment. In contrast, most RNs (65%) and APRNs (58.7%) work 21–40 hours per week, with APRNs showing the highest share working more than 40 hours (15.4%). Across all license types, full-time employment is the predominant status (LPNs 70.2%, RNs 75.9%, APRNs 76.5%), though LPNs continue to have the highest proportion of per-diem work (18.5%).

Table 10 Employment Status and Work Hour Patterns by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle Category Total Hours/Week Employment Status

Subcategory Up to 20 hours 21-40 hours More than 40 hours Per diem Part-Time Full-Time

FL LPNs 60.1% 37.4% 2.5% 18.5% 11.4% 70.2%

FL RNs 24.4% 65% 10.7% 14.6% 9.5% 75.9%

FL APRNs 26% 58.7% 15.4% 9.7% 13.8% 76.5%

Number of Years Licensed Table 11 summarizes participants’ self-reported number of years since they were first licensed in Florida, highlighting distinct patterns across licensure types. Among LPNs and RNs, the largest share report being licensed for 20 or more years (26.8% and 24.3%, respectively), indicating a substantial cohort of long-tenured nurses in these groups. In contrast, APRNs are more concentrated in earlier licensure periods, with 31.3% licensed for 2–4 years and 32.7% licensed for 5–9 years. This reflects continued growth and the recent expansion of the APRN workforce. Overall, these data suggest a more experienced LPN and RN workforce alongside a younger and rapidly developing APRN workforce.

15 | Findings

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 11 Number of Years Licensed by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle Years Licensed in FL 0 or 1 2-4 5-9 10-14 15-19 20 or more

FL LPNs 1.2% 19.5% 21.8% 17.5% 13.2% 26.8%

FL RNs 3.3% 21.2% 25.7% 15.6% 9.8% 24.3%

FL APRNs 4.7% 31.3% 32.7% 13.4% 6.7% 11.3%

Intention for Future Work Table 12 summarizes nurses’ self-reported intentions for future employment over the next five years. Across all licensure types, most respondents plan to continue working the same amount, ranging from 46.7% of LPNs to 65.9% of APRNs. Approximately one-third of LPNs and RNs indicate plans to advance their education, suggesting potential increases in enrollment in higher-degree nursing programs. Notably, 12.2% of RNs report intentions to leave or retire, representing a large potential reduction in the state’s RN workforce.

Table 12 Intention for Future Work by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle Future Employment Plans Work the Same Work More Work Less Advance Education Relocate Leave / Retire

FL LPNs 46.7% 9.4% 7.5% 31.8% 5.5% 8.8%

FL RNs 54.8% 7.8% 12.1% 32.9% 7.5% 12.2%

FL APRNs 65.9% 6.3% 12.1% 17.6% 6.5% 6.8%

Findings | 16

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Regional Nursing Workforce in Florida The Florida Center for Nursing aggregates statewide and regional data. Regions are identified as Northwest, North Central, Northeast, East Central, West Central, Southeast, Southwest, and South.

The Northwest region covers Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton, and Washington counties.

The North Central region covers Alachua, Bradford, Citrus, Columbia, Dixie, Gadsden, Gilchrist, Hamilton, Jefferson, Lafayette, Leon, Levy, Madison, Marion, Suwannee, Taylor, Union, and Wakulla counties.

The Northeast region covers Baker, Clay, Duval, Nassau, Putnam, and St. Johns counties.

The East Central region covers Brevard, Flagler, Lake, Orange, Osceola, Seminole, Sumter, and Volusia counties.

The West Central region covers DeSoto, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, and Sarasota counties.

The Southeast region covers Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie counties.

The Southwest region covers Charlotte, Collier, Glades, Hendry, and Lee counties.

The South region covers Broward, Miami-Dade, and Monroe counties.

The following map demonstrates the eight geographic regions of Florida.

17 | Findings

Figure 1 Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Figure Regional Map1of Florida Regional Map of Florida

Findings | 18

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Geographic Distribution Geographic Distribution Figure 2 displays the geographic distribution of Florida’s nursing workforce across the eight regions.the The West Central (WC) region accounts for theworkforce largest share of the nurses FigureFCN 2 displays geographic distribution of Florida’s nursing across (25.87%), South (S) region 20.74% and the at eight FCNfollowed regions. by Thethe West Central (WC) at region accounts forEast the Central largest (EC) shareregion of nurses 18.74%. contrast,by the Northwest regions represent the at (25.87%),Infollowed the South (S)(NW) regionand at Southwest 20.74% and(SW) the East Central (EC) region smallest of the workforce, atand 5.81% and 6.21%, respectively.

These data 18.74%. Inproportions contrast, the Northwest (NW) Southwest (SW) regions represent the indicate a concentration of nurses in Florida’s more densely populated regions, reflecting smallest proportions of the workforce, at 5.81% and 6.21%, respectively. These data population patterns and regional care service demand. indicate a concentration of nurseshealth in Florida’s more densely populated regions, reflecting population patterns and regional health care service demand.

Figure 2 Figure 2 Regional Distribution of Florida’s Nursing Workforce, 2023-2024 Licensure Cycle Regional Distribution of Florida’s Nursing Workforce, 2023-2024 Licensure Cycle

25.87% 20.74%

18.74%

7.93% 5.81%

6.71%

6.21%

7.99%

NW NC NE WC EC SW SE S Figure 3 displays the number of actively licensed LPNs, RNs, and APRNs across Florida’s eight regions.the RNs represent the largest proportion of theand nursing workforce in every FigureFCN 3 displays number of actively licensed LPNs, RNs, APRNs across Florida’s region, with the greatest concentrations observed in the of West South, andinEast eight FCN regions.

RNs represent the largest proportion the Central, nursing workforce every Central regions.

LPN and APRN counts follow similar geographic patterns, with higher region, with the greatest concentrations observed in the West Central, South, and East numbers locatedLPN in these more densely populated regions and substantially smaller Central regions. and APRN counts follow similar geographic patterns, with higher 50K numbers in the North Central, Northeast, Southwest, and Northwest regions. numbers located in these more densely populated regions and substantially smaller numbers in the North Central, Northeast, Southwest, and Northwest regions.

40K

Total

30K

19 | Findings

20K

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

NW Figure 3

NC

NE

WC

EC

SW

SE

S

Regional Distribution of Nurses by License Type, Florida’s Nursing Workforce, 2023–2024 Licensure Cycle

50K

40K

Total

30K

20K

10K

0K

Northwest North Central Northeast West Central East Central Southwest Southeast

South

Region LPN

RN

APRN

Findings | 20

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Northwest Region During the 2023-2024 license renewal cycle, the Northwest (NW) region, including Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton, and Washington counties, was home to 23,059 active nursing licenses, up 5.8% from last reporting cycle.

There were 15,638 nurses from the NW region (67.8%) who responded to the FCN Nursing Workforce Survey.

Table 13 Average Age and Active Licenses in the Northwest Region, 2023–2024 Licensure Cycle

NW LPNs NW RNs NW APRNs

Median Age

Mean Age

Active Licenses

48 47 47

48.2 47.6 48.5

3,978 16,890 2,191

Multi-State Licenses 27.9% 25.6% 16.7%

Age In the Northwest (NW) region, the nursing workforce is concentrated in the mid-career age ranges, with RNs (23.8%) and APRNs (26.2%) between 30–39, and LPNs (25.1%) and APRNs (28.8%) between 40–49. Early-career nurses are underrepresented, with only 7.8% of LPNs, 9.4% of RNs, and 1.1% of APRNs under age 30. This is comparable to the Florida nurse workforce (7.2%) but well below the national share. Nurses aged 50 or older make up roughly 44–46% of the NW workforce across licensure groups, aligning closely with statewide and national nursing age distributions. Overall, the region’s age profile reflects a mature workforce with limited representation of younger nurses entering practice.

21 | Northwest Region

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 14 Ages of Nurses in the Northwest Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

NW LPNs

NW RNs

NW APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

7.8%

9.4%

1.1%

6.4%

8.3%

1%

7%

7.9%

21.1% 25.1% 23.9%

23.8% 22.4% 21.3%

26.2% 28.8% 23.6%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4 20.7%

22.1%

23.1%

20.3%

27.6%

24%

18.1%

27.8%

29.9%

Sex In the Northwest region, the nursing workforce is predominantly female across all licensure types, with 92.7% of LPNs, 88.8% of RNs, and 83% of APRNs identifying as female. The proportion of male nurses in the Northwest, particularly among APRNs (17%), is higher than the national average for male nurses.

Table 15 Sex Ratios of Nurses in the Northwest Region, 2023-2024 Licensure Cycle

Female Male

NW LPNs 92.7% 7.3%

NW RNs 88.8% 11.2%

NW APRNs 83% 17%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

Northwest Region | 22

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Race/Ethnicity Race/Ethnicity In the Northwest region, the nursing workforce is predominantly White across all In the Northwest region, the nursing workforce is predominantly White across all licensure types, with 71% of LPNs, 78.8% of RNs, and 84.2% of APRNs identifying as licensure types, with 71% of LPNs, 78.8% of RNs, and 84.2% of APRNs identifying as White, compared with 73.9% of the region’s population. Black nurses are notably White, compared with 73.9% of the region’s population. Black nurses are notably overrepresented among LPNs (17%) relative to the regional population (13.6%), while overrepresented among LPNs (17%) relative to the regional population (13.6%), while Hispanic nurses are underrepresented across all licensure groups compared with both Hispanic nurses are underrepresented across all licensure groups compared with both the state (28.3%) and national (19.5%) populations. Asian nurses also make up a smaller the state (28.3%) and national (19.5%) populations. Asian nurses also make up a smaller share of the regional workforce than seen nationally. share of the regional workforce than seen nationally.

Table 16 Table 16 Race and Ethnicity of Nurses in The Northwest Region, 2023–2024 Licensure Cycle Race and Ethnicity of Nurses in The Northwest Region, 2023–2024 Licensure Cycle

Asian Asian Black Black Hispanic Hispanic Native Native Not Not Provided Provided Other Other White White

NW NW LPNs LPNs 2.3% 2.3% 17% 17% 3.3% 3.3% 1.8% 1.8% 3.6% 3.6% 1% 1% 71% 71%

NW NW RNs RNs 4.1% 4.1% 6.4% 6.4% 4.4% 4.4% 1.4% 1.4% 3.9% 3.9% 0.9% 0.9% 78.8% 78.8%

NW NW APRNs APRNs 2.5% 2.5% 4.1% 4.1% 2.9% 2.9% 1.6% 1.6% 3.2% 3.2% 1.4% 1.4% 84.2% 84.2%

NW NW Population Population 2.7% 2.7% 13.6% 13.6% 8.6% 8.6% 1% 1% NA NA 0.2% 0.2% 73.9% 73.9%

FL FL Population Population 3.3% 3.3% 15.5% 15.5% 28.3% 28.3% 0.6% 0.6% NA NA 0.1% 0.1% 52.1% 52.1%

U.S. U.S. Population Population 6.4% 6.4% 13.7% 13.7% 19.5% 19.5% 1.3% 1.3% NA NA 3.4% 3.4% 58.4% 58.4%

Education Education In the Northwest region, RN educational attainment is primarily at the baccalaureate In the Northwest region, RN educational attainment is primarily at the baccalaureate level (49.1%), followed by the associate degree (31.2%). APRNs in the region hold level (49.1%), followed by the associate degree (31.2%). APRNs in the region hold predominantly master’s degrees (82%), with additional representation at the doctoral predominantly master’s degrees (82%), with additional representation at the doctoral level, including 14.7% with a DNP and 1.3% with a PhD in Nursing. These patterns reflect level, including 14.7% with a DNP and 1.3% with a PhD in Nursing. These patterns reflect a traditionally certificate-based LPN workforce, a largely BSN-prepared RN workforce, a traditionally certificate-based LPN workforce, a largely BSN-prepared RN workforce, and a highly educated APRN workforce aligned with national advanced practice and a highly educated APRN workforce aligned with national advanced practice requirements. requirements.

23 | Northwest Region

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 17 Highest Nursing Degrees Earned by Nurses in the Northwest Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

NW LPNs

NW RNs

NW APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0%

49.1% 14.8% 1.5% 0.4%

0.9% 82% 14.7% 1.3%

1.4% 0.1% 0% 0%

46.5% 11.7% 1.3% 0.3%

1.8% 81% 14.3% 1.3%

1.5% 0% 0% 0%

51.1% 17.9% 1.6% 0.9%

0.1%

0.2%

0.5%

0.1%

0.1%

0.5%

0%

0.2%

Northwest Region | 24

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

North Central Region During the 2023-2024 licensure renewal cycle, the North Central (NC) region, including Alachua, Bradford, Citrus, Columbia, Dixie, Gadsden, Gilchrist, Hamilton, Jefferson, Lafayette, Leon, Levy, Madison, Marion, Suwannee, Taylor, Union, and Wakulla counties, was home to 31,650 active nursing licenses, meaning licensure in this county is up 7.1% from last reporting cycle.

There were 21,344 respondents from the NC region (67.4%) to the FCN Nursing Workforce Survey.

Table 18 Average Age and Active Licenses in the North Central Region, 2023–2024 Licensure Cycle

NC LPNs NC RNs NC APRNs

Median Age 48 47 48

Mean Age 48.2 48 49.6

Active Licenses 5,640 23,153 2,857

Multi-State Licenses 26.8% 22.4% 12.3%

Age In Florida’s North Central region, the nursing workforce skews mid- to late-career: roughly 45%–47% of LPNs, RNs, and APRNs are 50 years or older (LPN 47.2%, RN 45.1%, APRN 47.2%), comparable to Florida overall (46.3%) and above the U.S. nursing share (43.1%). Early-career representation is limited: 8.6% of LPNs, 9.2% of RNs, and 1.2% of APRNs are under 30, slightly above Florida’s overall nurse share for LPNs/RNs (7.2%) but below the U.S. benchmark (10.9%). Mid-career cohorts are prominent, with 30–39 comprising 22.9%–25.1% across groups, and APRNs most concentrated in 40–49 (26.7%).

These patterns indicate a mature workforce with a relatively narrow pipeline of younger nurses entering practice.

25 | North Central Region

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 19 Ages of Nurses in the North Central Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

NC LPNs

NC RNs

NC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

8.6%

9.2%

1.2%

6.4%

8.3%

1%

7%

7.9%

22.9% 21.2% 23.9%

25.1% 20.7% 19.8%

24.9% 26.7% 22.5%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

21.2%

20.7%

20.3%

27.6%

24%

18.1%

27.8%

29.9%

Sex In the North Central region, the nursing workforce is predominantly female across all licensure types, with 91.4% of LPNs, 87% of RNs, and 85.9% of APRNs identifying as female. Male representation ranges from 8.6% to 14.1%, closely aligning with statewide proportions for RNs and APRNs but slightly lower for LPNs compared with the Florida average (9.8%). Overall, the region reflects a gender distribution consistent with statewide patterns, with modestly greater male participation in advanced practice roles.

Table 20 Sex Ratios of Nurses in the North Central Region, 2023–2024 Licensure Cycle

Female Male

NC LPNs 91.4% 8.6%

NC RNs 87% 13%

NC APRNs 85.9% 14.1%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

North Central Region | 26

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Race/Ethnicity Race/Ethnicity In the North Central region, the nursing workforce is predominantly White across all licensure types, with region, 58.9% ofthe LPNs, 67.5% of RNs, and 73% of APRNsWhite identifying In the North Central nursing workforce is predominantly acrossas all White, closely mirroring the regional population (66%).

Black nurses are notably licensure types, with 58.9% of LPNs, 67.5% of RNs, and 73% of APRNs identifying as overrepresented among the LPNs (26.4%)population compared (66%). with the North Central White, closely mirroring regional Black nurses are population notably (18.5%), while Hispanic nurses are underrepresented across all licensure groups relative overrepresented among LPNs (26.4%) compared with the North Central population to both the Florida (28.3%) andare U.S.underrepresented (19.5%) populations.

Asian nurses represent a small (18.5%), while Hispanic nurses across all licensure groups relative share theFlorida regional workforce, particularly among LPNsAsian (1.5%)nurses and APRNs (4.2%), to bothofthe (28.3%) and U.S. (19.5%) populations. represent a small remaining below national levels. share of the regional workforce, particularly among LPNs (1.5%) and APRNs (4.2%), remaining below national levels.

Table 21 Table 21 Race and Ethnicity of Nurses in the North Central Region, 2023–2024 Licensure Cycle Race and Ethnicity of Nurses in the North Central Region, 2023–2024 Licensure Cycle Asian Black Asian Hispanic Black Native Hispanic Not Provided Native Other Not Provided White Other White

Education

NC LPNs NC 1.5% LPNs 26.4% 1.5% 5.8% 26.4% 1% 5.8% 5.2% 1% 1.2% 5.2% 58.9% 1.2% 58.9%

NC RNs NC 8.2% RNs 10.6% 8.2% 7.8% 10.6% 0.7% 7.8% 4.1% 0.7% 1.1% 4.1% 67.5% 1.1% 67.5%

NC APRNs NC 4.2% APRNs 11% 4.2% 6.7% 11% 0.2% 6.7% 3.7% 0.2% 1.1% 3.7% 73% 1.1% 73%

NC Population NC 2.9% Population 18.5% 2.9% 11.8% 18.5% 0.6% 11.8% NA 0.6% 0.1% NA 66% 0.1% 66%

FL Population FL 3.3% Population 15.5% 3.3% 28.3% 15.5% 0.6% 28.3% NA 0.6% 0.1% NA 52.1% 0.1% 52.1%

U.S. Population U.S. 6.4% Population 13.7% 6.4% 19.5% 13.7% 1.3% 19.5% NA 1.3% 3.4% NA 58.4% 3.4% 58.4%

Education In the North Central region, RNs are primarily BSN-prepared (49.1%), followed by those with associate degree (31.2%).

APRNs in theBSN-prepared region are highly educated, with In theanNorth Central region, RNs are primarily (49.1%), followed by 82% those holding a master’s degree and an additional 16% holding a doctoral degree (DNP, PhD, with an associate degree (31.2%). APRNs in the region are highly educated, with 82% or other adoctoral reflect certificate-based workforce, a holding master’sdegree). degree These and anpatterns additional 16% aholding a doctoral LPN degree (DNP, PhD, largely workforce, and a predominantly graduate-educated or otherbaccalaureate-prepared doctoral degree). TheseRN patterns reflect a certificate-based LPN workforce, a APRN workforce. largely baccalaureate-prepared RN workforce, and a predominantly graduate-educated APRN workforce.

27 | North Central Region

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 22 Highest Nursing Degree Earned by Nurses in the North Central Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

NC LPNs

NC RNs

NC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

North Central Region | 28

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Northeast Region During the 2023-2024 license renewal cycle, the Northeast (NE) region, including Baker, Clay, Duval, Nassau, Putnam, and St. John’s counties, was home to 27,613 active nursing licenses, which is a 14.4% drop in licensure since last reporting cycle.

There were 18,077 nurses from the NE region (65.5%) who responded to the FCN Nursing Workforce survey.

Table 23 Average Age and Active Licenses in the Northeast Region, 2023–2024 Licensure Cycle Median Age 48 46 46

NE LPNs NE RNs NE APRNs

Mean Age 48.5 47.1 47.5

Active Licenses 3,567 21,513 2,533

Multi-State Licenses 28.8% 23% 14.1%

Age In the Northeast region, early-career nurses are underrepresented: 6.5% of LPNs, 8.6% of RNs, and 1.3% of APRNs are under age 30, below the U.S. nursing benchmark (10.9%) and near or slightly above Florida overall (7.2%). The workforce is concentrated in mid-career ages, especially among APRNs, where 30–49 accounts for 60% (30–39: 25.7%; 40–49: 34.3%). Late-career nurses remain substantial, with approximately 47% of LPNs, 42% of RNs, and 39% of APRNs aged 50 or older. Overall, the NE region reflects a predominantly mid- to late-career workforce with limited representation of younger entrants.

Table 24 Ages of Nurses in the Northeast Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

29 | Northeast Region

NE LPNs

NE RNs

NE APRNs

FL LPNs

FL RNS

FL APRNs

U.S. LPNs

U.S. RNs

6.5%

8.6%

1.3%

6.4%

8.3%

1%

7%

7.9%

22.6% 23.9% 25.1%

26.1% 23.4% 20.1%

25.7% 34.3% 22.6%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 21.4% 20.7%

21.9%

21.8%

16.2%

27.6%

24%

18.1%

27.8%

29.9

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Sex In the Northeast region, the nursing workforce is predominantly female across all licensure types, with 90.8% of LPNs, 88.1% of RNs, and 85.8% of APRNs identifying as female. Male representation in the Northeast’s nursing workforce is highest among APRNs (14.1%).

Table 25 Sex Ratios of Nurses in the Northeast Region, 2023–2024 Licensure Cycle

Female Male Unknown

NE LPNs 90.8% 9.1% 0%

NE RNs 88.1% 11.9% 0%

NE APRNs 85.8% 14.1% 0.1%

FL LPNs 90.1% 9.8% 0%

FL RNs 86.8% 13.2% 0%

FL APRNs 84.1% 15.8% 0%

Race/Ethnicity In the Northeast region, the nursing workforce is majority White across licensure types (LPNs 40.8%, RNs 59.8%, and APRNs 64.7%), broadly consistent with the regional population (61.8%). Black nurses are notably overrepresented among LPNs (40.7%) relative to the regional population (21.2%), while RNs (17.3%) and APRNs (13.9%) are closer to population levels. Asian representation is higher among RNs (8.9%) and APRNs (7.1%) than in the regional (4.5%) and state (3.3%) populations. Hispanic nurses are underrepresented across all licensure groups (6–6.6%) compared with the Northeast population (11.8%), Florida (28.3%), and the U.S. (19.5%).

Table 26 Race and Ethnicity of Nurses in the Northeast Region, 2023–2024 Licensure Cycle

Asian Black Hispanic Native Not Provided Other White

NE LPNs 4.3% 40.7% 6% 0.8% 5.8% 1.6% 40.8%

NE RNs 8.9% 17.3% 6.3% 0.8% 5.5% 1.5% 59.8%

NE APRNs 7.1% 13.9% 6.6% 0.6% 5.5% 1.5% 64.7%

NE Population 4.5% 21.2% 11.8% 0.5% NA 0.1% 61.8%

FL Population 3.3% 15.5% 28.3% 0.6% NA 0.1% 52.1%

U.S. Population 6.4% 13.7% 19.5% 1.3% NA 3.4% 58.4%

Northeast Region | 30

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Education In the Northeast region, RNs are primarily baccalaureate-prepared (49.1%), followed by those with an associate degree (31.2%). APRNs in the region are highly educated, with the vast majority holding a master’s degree (82%) and an additional 16% holding a doctoral degree (DNP, PhD, or other doctoral degree). These data reflect a certificate-based LPN workforce, a largely BSN-prepared RN workforce, and a predominantly graduate-prepared APRN workforce in the region.

Table 27 Highest Nursing Degree Earned by Nurses in the Northeast Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

31 | Northeast Region

NE LPNs

NE RNs

NC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

East Central Region During the 2023-2024 licensure period, the East Central (EC) region, including Brevard, Flagler, Lake, Orange, Osceola, Seminole, Sumter, and Volusia counties was home to 77,216 active nursing licenses, which is an 8.6% increase from the last reporting cycle.

There were 50,457 respondents from the EC region (65.3%) who participated in the FCN Nursing Workforce Survey.

Table 28 Average Age and Active Licenses in the East Central Region, 2023–2024 Licensure Cycle

EC LPNs EC RNs EC APRNs

Median Age 51 47 46

Mean Age 50.5 48.1 47.6

Active Licenses 10,170 59,571 7,475

Multi-State Licenses 25.6% 21.6% 13.1%

Age In the EC region, early-career nurses are limited: 5.2% of LPNs, 8.1% of RNs, and 1% of APRNs are under age 30, below the U.S. nursing benchmark (10.9%) and at or below the Florida overall share (7.2%). The workforce is concentrated in mid-career ages, especially among APRNs, where 30–49 accounts for 59.3% (30–39: 26.2%; 40–49: 33.1%). Older nurses comprise a substantial share, with LPNs 50+ at 53.3% and RNs 50+ at 45.2% (APRNs 39.7%), indicating a mature workforce and a relatively narrow pipeline of younger entrants. Overall, the EC age profile suggests continued reliance on mid- to late-career clinicians, particularly in advanced practice roles.

East Central Region | 32

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 29 Ages of Nurses in the East Central Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

EC LPNs

EC RNs

EC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

5.2%

8.1%

1%

6.4%

8.3%

1%

7%

7.9%

18.5% 23% 25.2%

24.3% 22.3% 20.8%

26.2% 33.1% 22.8%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

28.1%

24.4%

16.9%

27.6%

24%

18.1%

27.8%

29.9%

Sex In the East Central region, the nursing workforce is predominantly female across all licensure types, with 90.8% of LPNs, 87.6% of RNs, and 86.4% of APRNs identifying as female. Male representation among nurses in the region remains low (9.2%–13.6%).

Table 30 Sex Ratios of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Female Male

EC LPNs 90.8% 9.2%

EC RNs 87.6% 12.4%

EC APRNs 86.4% 13.6%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

Race/Ethnicity In the East Central region, the nursing workforce is predominantly White, representing 45.4% of LPNs, 55.1% of RNs, and 55.4% of APRNs, closely aligning with the regional population (53.7%). Black nurses are significantly overrepresented among LPNs (30%) compared with the regional population (14%), while their representation among RNs and APRNs (13%) aligns more closely with state and national averages. Hispanic nurses are underrepresented across all licensure types, 14.1%–17.4% compared with 27.3% of the regional population and 28.3% of the Florida population. Asian nurses account for a small share of the workforce (2.5%–8.6%) but are proportionally higher among RNs and APRNs relative to the regional population (4.2%).

33 | East Central Region

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 31 Race and Ethnicity of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Asian Black Hispanic Native Not Provided Other White

EC LPNs 2.5% 30% 14.1% 0.7% 5.5% 1.9% 45.4%

EC RNs 8% 12.6% 17.4% 0.6% 4.8% 1.5% 55.1%

EC APRNs 8.6% 13.3% 15.9% 0.5% 4.8% 1.5% 55.4%

EC Population 4.2% 14% 27.3% 0.6% NA 0.2% 53.7%

FL Population 3.3% 15.5% 28.3% 0.6% NA 0.1% 52.1%

U.S. Population 6.4% 13.7% 19.5% 1.3% NA 3.4% 58.4%

Education In the East Central region, RNs are chiefly BSN-prepared (49.1%), followed by associate degrees (31.2%) and master’s degrees (14.8%). APRNs are overwhelmingly master’s prepared (82%) with 14.7% holding a DNP and 1.3% holding a PhD in Nursing.

Table 32 Highest Nursing Degree Earned by Nurses in the East Central Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

EC LPNs

EC RNs

EC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

East Central Region | 34

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

West Central Region During the 2023-2024 license renewal cycle, the West Central (WC) region, including DeSoto, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, and Sarasota counties, was home to 103,830 active nursing licenses, which is a 6.7% increase in licensure since last reporting cycle.

There were 69,639 respondents from the WC region (67.1%) who participated in the FCN Nursing Workforce Survey.

Table 33 Average Age and Active Licenses in the West Central Region, 2023–2024 Licensure Cycle

WC LPNs WC RNs WC APRNs

Median Age 51 47 46

Mean Age 50.1 48.1 48

Active Licenses 15,535 78,437 9,858

Multi-State Licenses 22.9% 22.2% 12.2%

Age In the West Central region, early-career nurses remain limited across licensure types, with only 6.2% of LPNs, 8.4% of RNs, and 1.2% of APRNs under age 30, findings similar to the statewide nurse workforce (7.2%) but below the national benchmark (10.9%). The workforce is concentrated in the 30–49 age range, especially among APRNs, where 57.6% fall within this mid-career span. Late-career representation is substantial: 27.7% of LPNs, 24.5% of RNs, and 18.2% of APRNs are aged 60 or older, slightly above state and national averages. Overall, the WC region reflects a predominantly mid- to late-career nursing workforce with limited representation of younger entrants.

35 | West Central Region

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 34 Ages of Nurses in the West Central Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

WC LPNs

WC RNs

WC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

6.2%

8.4%

1.2%

6.4%

8.3%

1%

7%

7.9%

18.9% 22.3% 24.9%

24.3% 21.9% 20.9%

26.3% 31.3% 23%

19% 22.3% 24.8%

24.5% 21.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

27.7%

24.5%

18.2%

27.6%

24%

18.1%

27.8%

29.9%

Sex In the West Central region, the nursing workforce is overwhelmingly female across all licensure types, with 89.4% of LPNs, 87.3% of RNs, and 86.9% of APRNs identifying as female. Male representation in the WC nursing workforce remains low (10.6%–13.1%).

Table 35 Sex Ratios of Nurses in the East Central Region, 2023–2024 Licensure Cycle

Female Male

WC LPNs 89.4% 10.6%

WC RNs 87.3% 12.7%

WC APRNs 86.9% 13.1%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

Race/Ethnicity In the West Central (WC) region, the nursing workforce is majority White across licensure types (53.9% of LPNs, 63.3% of RNs, and 65.4% of APRNs), generally aligning with the regional population (61.2%). Black nurses are notably overrepresented among LPNs (22.3%) relative to the WC population (11.6%), while their representation among RNs (9.9%) and APRNs (10.1%) is closer to population levels. Hispanic nurses are underrepresented across all groups (12.4%–14.2%) compared with the WC (22.8%) and Florida (28.3%) populations. Asian representation is higher among RNs (6.1%) and APRNs (5.8%) than in the regional population (3.6%), approximating the national share (6.4%).

West Central Region | 36

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 36 Race and Ethnicity of Nurses in the West Central Region, 2023–2024 Licensure Cycle

Asian Black Hispanic Native Not Provided Other White

WC LPNs 2.6% 22.3% 13.4% 0.9% 5.3% 1.6% 53.9%

WC RNs 6.1% 9.9% 14.2% 0.7% 4.5% 1.2% 63.3%

WC APRNs 5.8% 10.1% 12.4% 0.7% 4.4% 1.2% 65.4%

WC Population 3.6% 11.6% 22.8% 0.6% NA 0.1% 61.2%

FL Population 3.3% 15.5% 28.3% 0.6% NA 0.1% 52.1%

U.S. Population 6.4% 13.7% 19.5% 1.3% NA 3.4% 58.4%

Education In the West Central region, RNs are primarily BSN-prepared (49.1%), followed by those with an associate degree (31.2%) and a smaller share with graduate degrees. APRNs are predominantly master’s prepared, with 82% holding a master’s degree and approximately 16% holding a doctoral degree (DNP, PhD, or other doctoral degree).

Table 37 Highest Nursing Degree Earned by Nurses in the West Central Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

37 | West Central Region

WC LPNs

WC RNs

WC APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Southeast Region During the 2023-2024 license renewal cycle, the Southeast (SE) region, including Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie counties, was home to 32,905 active nursing licenses, which is a 21.4% drop in licensure since last reporting cycle.

There were 21,512 respondents from the SE region (65.4%) who participated in the FCN Nursing Workforce Survey.

Table 38 Average Age and Active Licenses in the Southeast Region, 2023–2024 Licensure Cycle Median Age 52 49 47

SE LPNs SE RNs SE APRNs

Mean Age 51.4 49.7 49.1

Active Licenses 3,920 25,491 3,494

Multi-State Licenses 22.5% 23% 13.5%

Age In the Southeast region, early-career nurses are underrepresented: 5.5% of LPNs, 7.1% of RNs, and 0.9% of APRNs are under age 30, below the U.S. nursing benchmark (10.9%) and at or below the Florida share (7.2%). The workforce is concentrated in mid-career ages, especially among APRNs, where 30–49 accounts for 54.4% (30–39: 24.4%; 40–49: 30%).

Late-career representation is substantial, with LPNs 60+ at 32.3%, RNs 60+ at 28.7%, and APRNs 60+ at 21.1%, all exceeding or near national levels. Overall, the SE region reflects a predominantly mid- to late-career workforce with limited younger entrants.

Table 39 Ages of Nurses in the Southeast Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

SE LPNs

SE RNs

SE APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

5.5%

7.1%

0.9%

6.4%

8.3%

1%

7%

7.9%

18.2% 20.1% 23.9%

22.4% 20.6% 21.1%

24.4% 30% 23.6%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

32.3%

28.7%

21.1%

27.6%

24%

18.1%

27.8%

29.9%

Sex Southeast Region | 38

60 or 32.3% 28.7% 21.1% 27.6% 24% 18.1% 27.8% 29.9% Florida’s Nursing older Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Sex In the Southeast region, the nursing workforce is predominantly female across all licensure types (91.3% of LPNs, 89.1% of RNs, and 88.6% of APRNs). Male representation remains low (8.7–11.4%). The highest male share is among APRNs (11.4%).

Table 40 Sex Ratios of Nurses in the Southeast Region, 2023–2024 Licensure Cycle

Female Male

SE LPNs 91.3% 8.7%

SE RNs 89.1% 10.8%

SE APRNs 88.6% 11.4%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

Race/Ethnicity In the Southeast (SE) region, the nursing workforce is predominantly White, representing 34.6% of LPNs, 53% of RNs, and 56.6% of APRNs, which is generally consistent with the regional population (55.3%). Black nurses are substantially overrepresented among LPNs (44.2%) compared with the SE population (17.7%), while their representation among RNs (21%) and APRNs (16.7%) remains above regional and state levels. Hispanic nurses are underrepresented across all licensure types (10.4%–14.6%) relative to the SE population (23.4%) and the Florida population (28.3%). Asian nurses account for a small portion of the workforce (1.7%–5.4%) but exceed the local population share (2.8%), especially among RNs and APRNs. Overall, the region reflects considerable racial and ethnic diversity, with notable variation across nursing roles.

Table 41 Race and Ethnicity of Nurses in the Southeast Region, 2023–2024 Licensure Cycle

Asian Black Hispanic Native Not Provided Other White

39 | Southeast Region

SE LPNs 1.7% 44.2% 10.4% 0.5% 6.8% 1.8% 34.6%

SE RNs 5.4% 21% 13.1% 0.4% 5.5% 1.6% 53%

SE APRNs 5.1% 16.7% 14.6% 0.5% 4.7% 1.9% 56.6%

SE Population 2.8% 17.7% 23.4% 0.7% NA 0.1% 55.3%

FL Population 3.3% 15.5% 28.3% 0.6% NA 0.1% 52.1%

U.S. Population 6.4% 13.7% 19.5% 1.3% NA 3.4% 58.4%

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Education In the Southeast region, RNs are primarily BSN-prepared (49.1%), followed by those with associate degrees (31.2%) and a smaller share with graduate degrees. Most APRNs (82%) hold a master’s degree and approximately 16% hold a doctoral degree (DNP, PhD, or other doctoral degree), reflecting the advanced education requirements for APRN practice.

Table 42 Highest Nursing Degree Earned by Nurses in the Southeast Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

SE LPNs

SE RNs

SE APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

Southeast Region | 40

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Southwest Region During the 2023-2024 license renewal cycle, the Southwest (SW) region, including Charlotte, Collier, Glades, Hendry, and Lee counties, was home to 25,414 active nursing licenses, which is a 27.7% increase from last reporting cycle.

There were 16,732 respondents from the SW region (65.8%) who participated in the FCN Nursing Workforce Survey.

Table 43 Average Age and Active Licenses in the Southwest Region, 2023–2024 Licensure Cycle

SW LPNs SW RNs SW APRNs

Median Age 52 50 51

Mean Age 50.8 49.8 51.3

Active Licenses 3,579 19,284 2,551

Multi-State Licenses 23.4% 23.3% 13.2%

Age In the Southwest region, early-career nurses represent a small portion of the workforce, with 7.5% of LPNs, 8.4% of RNs, and only 1.1% of APRNs under age 30, findings that fall below the national nursing benchmark (10.9%) and align closely with the statewide share (7.2%). The workforce is concentrated in mid-career ages, especially among APRNs, where 25.6% fall within the 40–49 age range and 28.1% within 50–59. Late-career nurses comprise a substantial segment across all licensure types, with 26.9%–30.6% aged 60 or older, exceeding both state and national proportions. This age profile suggests a mature workforce with limited representation from younger cohorts entering nursing practice.

Table 44 Ages of Nurses in the Southwest Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older 41 | SouthwestSex Region

SW LPNs

SW RNs

SW APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

7.5%

8.4%

1.1%

6.4%

8.3%

1%

7%

7.9%

16.1% 20.8% 25%

20.9% 19% 22%

18.3% 25.6% 28.1%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

30.6%

29.8%

26.9%

27.6%

24%

18.1%

27.8%

29.9%

60 or 30.6% 29.8% 26.9% 27.6% 24% 18.1% 27.8% 29.9% Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data older

Sex In the Southwest region, the nursing workforce is predominantly female across licensure types, 90.1% of LPNs, 88.4% of RNs, and 84.5% of APRNs. Male representation ranges from 9.8% to 15.5% (highest among APRNs).

Table 45 Sex Ratios of Nurses in the Southwest Region, 2023–2024 Licensure Cycle

Female Male

SW LPNs 90.1% 9.8%

SW RNs 88.4% 11.6%

SW APRNs 84.5% 15.5%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

Race/Ethnicity In the Southwest (SW) region, the nursing workforce is majority White across licensure types (54.5% of LPNs, 66.7% of RNs, and 68% of APRNs), generally aligning with the regional population (64.6%) and exceeding the statewide share (52.1%). Black nurses are substantially overrepresented among LPNs (21%) relative to the SW population (7.6%), while their proportions among RNs (8.8%) and APRNs (6%) are closer to population levels.

Hispanic nurses are underrepresented across all licensure types (15.4%–17.1%) compared with both the SW population (25.2%) and Florida overall (28.3%). Asian nurses comprise a small share (2%–3%) but exceed the local population benchmark (1.8%), particularly among RNs and APRNs. Overall, the region shows notable variation by licensure type, with higher Black representation among LPNs and lower Hispanic representation across the workforce.

Table 46 Race and Ethnicity of Nurses in the Southwest Region, 2023–2024 Licensure Cycle

Asian Black Hispanic Native Not Provided Other White

Education

SW LPNs 2% 21% 15.4% 0.9% 4.9% 1.4% 54.5%

SW RNs 2.9% 8.8% 16% 0.6% 4.1% 1% 66.7%

SW APRNs 3% 6% 17.1% 0.7% 4.1% 1.1% 68%

SW Population 1.8% 7.6% 25.2% 0.7% NA 0.1% 64.6%

FL Population 3.3% 15.5% 28.3% 0.6% NA 0.1% 52.1%

U.S. Population 6.4% 13.7% 19.5% 1.3% NA 3.4% 58.4%

Southwest Region | 42

White

54.5%

66.7%

68%

64.6%

52.1%

58.4%

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Education In the Southwest region, RNs are primarily BSN-prepared (49.1%), followed by associate degrees (31.2%) and a smaller proportion with graduate degrees (14.8% master’s; 2.1% doctoral). 82% of APRNs hold a master’s degree, and about 16% hold a doctoral degree (14.7% DNP; 1.3% PhD in Nursing; 0.5% other doctoral degree).

Table 47 Highest Nursing Degree Earned by Nurses in the Southwest Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

43 | Southwest Region

SW LPNs

SW RNs

SW APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

South Region During the 2023-2024 license renewal cycle, the South (S) region, including Broward, Miami-Dade, and Monroe counties, was home to 88,504 active nursing licenses, which is an 11.9% increase in licensure since the last reporting cycle.

There were 55,831 respondents from the S region (63.1%) who participated in the FCN Nursing Workforce Survey.

Table 48 Average Age and Active Licenses in the South Region, 2023–2024 Licensure Cycle

S LPNs S RNs S APRNs

Median Age 52 46 47

Mean Age 51.3 46.8 47.5

Active Licenses 8,758 68,077 11,669

Multi-State Licenses 22.4% 22.4% 11.9%

Age In the South region, early-career nurses are underrepresented: 6.5% of LPNs, 8.9% of RNs, and 1% of APRNs are under 30, near or below Florida overall (7.2%) and well below the U.S. benchmark (10.9%). APRNs are concentrated in mid-career ages, with 57.4% between 30–49 (30–39: 26.6%; 40–49: 30.8%). Late-career presence is highest among LPNs (31.3% aged 60+), exceeding both the Florida (24.1%) and U.S. (21.7%) nursing shares, while RN (19.7%) and APRN (14%) 60+ proportions are lower. Overall, the South reflects a predominantly mid- to late-career workforce with limited younger entrants, signaling potential succession challenges over the next decade.

South Region | 44

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data Table 49 Ages of Nurses in the South Region, 2023–2024 Licensure Cycle

29 or younger 30 - 39 40 - 49 50 - 59 60 or older

S LPNs

S RNs

S APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

6.5%

8.9%

1%

6.4%

8.3%

1%

7%

7.9%

15.8% 21.1% 25.3%

26.7% 23% 21.7%

26.6% 30.8% 27.6%

19% 22.3% 24.8%

24.5% 22.1% 21.1%

25.1% 30.9% 24.8%

18.7% 22.9% 23.5%

21.2% 20.4% 20.7%

31.3%

19.7%

14%

27.6%

24%

18.1%

27.8%

29.9%

Sex In the South region, the nursing workforce is predominantly female across all licensure types, with 87.6% of LPNs, 83% of RNs, and 78.6% of APRNs identifying as female. Male representation increases with licensure level, rising from 12.3% of LPNs to 21.4% of APRNs. Table 50 Sex Ratios of Nurses in the South Region, 2023–2024 Licensure Cycle

Female Male

S LPNs 87.6% 12.3%

S RNs 83% 17%

S APRNs 78.6% 21.4%

FL LPNs 90.1% 9.8%

FL RNs 86.8% 13.2%

FL APRNs 84.1% 15.8%

Race/Ethnicity In Florida’s South region, Hispanic nurses comprise the largest share among RNs (46.6%) and APRNs (58.2%), closely aligning with the regional population (54.4%), while LPNs are lower at 27.8%. Black nurses are markedly overrepresented among LPNs (50%) relative to the regional population (20.1%) and remain substantial among RNs (23.6%) and APRNs (16.7%). White nurses are underrepresented across all licensure types (10.5%–17.5%) compared with the South region (22.3%) and are well below the statewide (52.1%) and national (58.4%) nursing shares. Asian representation is modest (2.3%–6%), with RNs (6%) exceeding the regional population (2.7%) and approximating the national nursing benchmark (6.4%). Native and Other categories remain very small (≤3%), and Not Provided responses account for 3.1%–6.1% across licensure groups.

Table 51 45 | South Region

benchmark (6.4%). Native and Other categories remain very small (≤3%), and Not Florida’sresponses Nursing Workforce An Analysis Florida’s 2023–2024 Licensure Data Provided account forCharacteristics: 3.1%–6.1% across licensure of groups.

Table 51 Race and Ethnicity of Nurses in the South Region, 2023–2024 Licensure Cycle

Asian Black Hispanic Native Not Provided Other White

S LPNs 2.3% 50% 27.8% 0.3% 6.1% 3% 10.5%

S RNs 6% 23.6% 46.6% 0.2% 4.3% 1.8% 17.5%

S APRNs 4.3% 16.7% 58.2% 0.1% 3.1% 1.3% 16.3%

S Population 2.7% 20.1% 54.4% 0.4% NA 0.1% 22.3%

FL Population 3.3% 15.5% 28.3% 0.6% NA 0.1% 52.1%

U.S. Population 6.4% 13.7% 19.5% 1.3% NA 3.4% 58.4%

Education In Florida’s South region, RNs are primarily BSN-prepared (49.1%), followed by associate degrees (31.2%), with a smaller graduate-educated segment (14.8% master’s and ~2.1% doctoral). 82% of APRNs hold a master’s degree and 16.5% hold a doctoral degree (14.7% DNP, 1.3% PhD, 0.5% other doctoral), reflecting a graduate/doctoral-prepared APRN workforce aligned with advanced practice requirements.

Table 52 Highest Nursing Degree Earned by Nurses in the South Region, 2023–2024 Licensure Cycle Highest Nursing Degree Vocational/PN Certificate Diploma Associate Degree Baccalaureate Master's DNP PhD Nursing Other Doctoral

S LPNs

S RNs

S APRNs

FL LPNs

FL RNs

FL APRNs

U.S. LPNs

U.S. RNs

67%

0.1%

0%

75.7%

0.1%

0%

82%

0%

11.6%

2.8%

0.1%

13.2%

3.3%

0.4%

10.1%

4.1%

17.6%

31.2%

0.5%

9.5%

36.6%

0.7%

6.5%

24.3%

3.3% 0.4% 0% 0% 0.1%

49.1% 14.8% 1.5% 0.4% 0.2%

0.9% 82% 14.7% 1.3% 0.5%

1.4% 0.1% 0% 0% 0.1%

46.5% 11.7% 1.3% 0.3% 0.1%

1.8% 81% 14.3% 1.3% 0.5%

1.5% 0% 0% 0% 0%

51.1% 17.9% 1.6% 0.9% 0.2%

South Region | 46

Florida’s Nursing Workforce Characteristics: An Analysis of Florida’s 2023–2024 Licensure Data

Limitations While the data presented in this report provide valuable insight into Florida’s nursing workforce, several limitations should be considered when interpreting the findings. First, the workforce survey is completed at the time of licensure renewal, and although participation rates are high, the survey is voluntary; therefore, some degree of non-response bias may be present. Nurses who choose not to complete the survey may differ in meaningful ways from those who do, potentially influencing estimates of employment patterns, geographic distribution, or educational attainment.

Second, all survey responses are self-reported and may be subject to recall error, misinterpretation of questions, or unintentional inaccuracies. While FCN employs datacleaning procedures to improve consistency, some error may remain. Additionally, data reflect workforce characteristics at a specific point in time and may not capture changes in employment status or work setting that occur between renewal cycles.

Finally, although the Florida Center for Nursing follows consistent analytic procedures, some variables may shift slightly over time due to corrections in licensure records, updates in coding, or changes in survey structure. These factors can lead to minor yearto-year variations in reported totals or categories.

Despite these limitations, the data provide a robust and reliable foundation for understanding Florida’s nursing workforce and for supporting evidence-informed policy and planning in accordance with Section 464.0195, Florida Statutes.

47 | Limitations