Calcineurin is a calcium/calmodulin‐dependent serine/threonine protein phosphatase, and hypertension is a major side effect of clinically used calcineurin inhibitors. Although increased sympathetic nerve discharges are associated with calcineurin inhibitor‐induced hypertension, the sources of sympathetic outflow are unknown. In this study, we determined the role of the paraventricular nuclear (PVN) of the hypothalamus in calcineurin inhibitor‐induced hypertension. Immunocytochemistry labeling showed that calcineurin was expressed on spinally projecting PVN neurons. Radiotelemetry recordings showed that systemic administration of tacrolimus (FK506), a specific calcineurin inhibitor, for 14 days caused a gradual and significant increase in arterial blood pressure in rats, which lasted at least another 7 days after discontinuing FK506 treatment. FK506 significantly decreased calcineurin activity in the PVN and increased the protein level of GluN1, the NMDA receptor obligatory subunit, and serine/threonine phosphorylation levels of GluN1 in the PVN synaptosomes. Electrophysiological recordings revealed that the spontaneous firing rate, frequency of mEPSCs, and amplitude of puff NMDA‐elicited currents in spinally projecting PVN neurons were significant greater in FK506‐treated rats than in vehicle‐treated rats. Remarkably, treatment with the NMDA receptor antagonist AP5 normalized the stimulatory effects of FK506 on PVN neurons of FK506‐treated rats. Furthermore, microinjection of AP5 into the PVN decreased renal sympathetic nerve discharges and blood pressure increased in FK506‐treated rats. Systemic administration of memantine, a clinically used NMDA receptor antagonist, also significantly lowered the high blood pressure in FK506‐treated rats. Collectively, our findings indicate that calcineurin inhibitor‐induced persistent hypertension results from augmented sympathetic output through increased NMDA receptor phosphorylation and activity in the PVN.