Nashville, Tennessee, is not located north of the Ohio River. The city sits in the central part of the state, well south of the river's course. The Ohio River forms the southern borders of Ohio, Indiana, and Illinois, while simultaneously marking the northern borders of Kentucky and West Virginia. Nashville lies roughly 150 miles south of the river's nearest point, placing it firmly within the drainage basin of the Cumberland River, a major tributary of the Ohio.
Understanding this geographic relationship helps clarify regional boundaries in the American Midwest and South. The Ohio River serves as a significant natural divider, and Nashville's position south of it places the city squarely in the cultural and geographic region known as the Upper South.