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What Does a Nurse Practitioner Do?

Nurse Practitioners (NPs) are advanced practice registered nurses (APRNs) who provide a broad range of healthcare services, often functioning as a patient's primary care provider. They assess patients, order and interpret diagnostic tests, diagnose conditions, and prescribe medications — in many states entirely independently of physician oversight.

NPs may specialize in areas including family medicine, pediatrics, geriatrics, psychiatric/mental health, women's health, and acute care. The expanding role of NPs in the healthcare system reflects both a nationwide physician shortage and strong evidence that NPs deliver comparable patient outcomes in primary care settings.

The aging U.S. population is a primary driver of NP demand. As the number of Americans over 65 grows, so does need for primary care, chronic disease management, and preventive services — all core NP competencies.

Key responsibilities include conducting physical exams, managing chronic conditions such as diabetes and hypertension, prescribing treatments, counseling patients on health and prevention, and coordinating referrals to specialist physicians.

Clinical assessmentPrescriptive authority Chronic disease managementPatient education Preventive careCare coordination
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Education & Requirements

1
Earn a Bachelor of Science in Nursing (BSN)

A four-year BSN is the standard prerequisite. Some pathways allow RNs with associate degrees to bridge into BSN/MSN combined programs.

2
Become a Registered Nurse (RN)

Pass the NCLEX-RN licensure exam. Most NP programs require at least 1–2 years of RN clinical experience before admission.

3
Complete a Master's or Doctoral NP Program

A Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) with an NP specialty track is required. Programs include advanced clinical rotations.

4
Obtain National Certification

Pass a national board exam through a certifying body such as AANPCB or ANCC, specific to your chosen specialty area.

5
Obtain State Licensure as an APRN

All states require a separate advanced practice license. Scope of practice varies by state — some allow full independent practice; others require physician collaboration agreements.

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Job Outlook

+35%
Projected employment
change 2024–2034
32,700
Avg. annual job
openings projected
$132,050
Median annual
wage (May 2024)

Nurse practitioners are among the fastest-growing occupations in the entire U.S. economy. The BLS projects a 35 percent increase in employment from 2024 to 2034 — more than ten times the national average growth rate of 3 percent. This growth is driven primarily by the aging population and its increasing demand for primary and preventive care, combined with a persistent shortage of primary care physicians.

Healthcare centers are also increasingly adopting team-based care models that position NPs as primary care providers. In states with full practice authority, NPs can open and operate independent practices, further expanding their role.

Employment is expected across physicians' offices, hospitals, outpatient care centers, community health clinics, and telehealth platforms. NPs specializing in psychiatric/mental health currently command some of the highest wages in the field, reflecting a national shortage of mental health providers.

Source: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook — Nurse Practitioners. Data reflects 2024–34 Employment Projections and May 2024 Occupational Employment and Wage Statistics.
https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm