Certified Addictions Registered Nurse – Advanced Practice

Addictions Nursing Certification Board (ANCB)

Care of C-NET

35 Journal Square, Suite 901

Jersey City,NJ 07306

201.217.9083 (Voice)

201.217.9785 (Fax)





Check our new FAQ Page for answers to your questions and click HERE for an updated list of references for the exam!


 Effective October 2018, the CARN and CARN-AP programs have been granted accreditation by ABSNC! 

absnc logo color

Effective July 1, 2018


To be determined eligible to participate in the certification examination for advanced practice, candidates must meet the following requirements:  



You must hold a current, full, and unrestricted license* as a registered nurse (RN) in the United States, its territories or Canada. If licensed in more than one jurisdiction, the candidate must hold full and unrestricted licenses in all jurisdictions where they practice. Non-US or Canadian nurses who meet eligibility criteria are also invited to apply for the CARN-AP examination, but must submit evidence of equivalent licensure as an RN.   _________________________________________

*ALTERNATIVE TO DISCIPLINE POLICY: ANCB recognizes the positive impact nurses in recovery bring to the specialty of addiction nursing. Alternative to Treatment Program Involvement:

  1. If a license is surrendered or if the nurse has violated the agreement, the applicant will be found ineligible to sit for the exam.
  2. If the nurse has a license with restrictions and is currently in a monitoring program, a letter from the monitoring program will be required before the applicant may sit for the exam. The monitoring program letter will need to support that the license is active, the applicant is complying with his/her agreement and that the monitoring program supports the applicant sitting for the exam.
  3. Each applicant will be expected to abide by their state nurse practice act and the laws of their state regarding the alternative to discipline programs.




You must provide evidence that you hold a master’s degree (or higher) in nursing.



The applicant must complete documentation (enclosed) verifying a minimum of 500 hours in advanced clinical practice. These hours must be supervised, and must be direct client contact hours, working with individuals and families impacted by addictions/dual diagnoses. Be advised, only hours obtained within the last four (4) years will be considered, and may be from your master’s program, or post-masters experience [See below].



If part or all of the required hours were obtained  

            during a master’s program, the applicant must

            attach a transcript and highlight all the itemized

            experience hours they wish to submit for

            consideration. All experience hours must be in

            addictions/dual diagnosis and obtained within the

            last 4 years.





             If part or all of the required hours were obtained

             post-masters, then the candidate must have the

             enclosed Verification Form completed by a 

             direct supervisor. The Verification Form may be   

             photocopied for distribution to multiple supervisor  

            if needed. All experience hours must meet the

            above criteria under “Verification of Clinical




In addition to the 500 directly supervised clinical hours listed, the applicant must have a minimum of 1,500 hours of nursing experience in addiction as an Advanced Practice Nurse (APN) within the last three (3) years prior to submitting the examination application. The hours may be in an administrative, teaching, private practice, consultation, counseling, or research capacity.



Applicants must have completed forty-five (45)

contact hours of approved continuing education

in addictions within the three (3) years prior to submitting the exam application. Fifty-one percent of the hours must be specific to addictions nursing, while the remaining hours must be related to addictions nursing, e.g., HIV/AIDS, hepatitis, pain management, etc.



*NOTE: Fee changes effective December 1, 2017

$350 – IntNSA Members, $400–Non-IntNSA Members


The CARN-AP exam has year-round Computer-Based Testing (CBT). Please allow 3-4 weeks for processing applications.  Exam Permits reflecting a 90-day testing window will be mailed to eligible candidates.  Candidates will have 90 days to schedule and take the exam.




4 years from the date of passing exam.



To download the writable Candidate Handbook/Application, click HERE. It is recommended that you download the application before completing.


For the 2016-2017 Exam Statistics, click HERE 

 Click HERE for an updated list of references for the exam!

To Purchase study material, click HERE.


* Current license as an RN in the United States, its territories, or Canada.
* Minimum of 2 years of plastic surgical nursing experience as an RN.
* Spend at least 50% of practice hours in plastic surgical nursing during 2 of the preceding 5 years.
* Be in compliance with state regulations of the practice of hemodialysis patient-care technicians, if applicable. Applicants must meet the experience requirement (for certification) of the state in which they practice.