Family Nurse Practitioner Career Overview | (2022)

How Long To Become an FNP 2-3 years
FNP job outlook 45% growth from 2019-2029
FNP average earning potential $115,800 SOURCE: U.S. Bureau of Labor Statistics

What Does a Family Nurse Practitioner Do?

MSN required

certification optional

Family nurse practitioners (FNPs) provide primary care for patients at all life stages, often in collaboration with healthcare teams. While FNPs prioritize preventative care, they can also treat serious illnesses. Other responsibilities may include ordering and interpreting lab tests, diagnosing patients, and managing treatment plans. Whether an FNP online program or an in-person one, FNP coursework focuses on these topics:

Primary Skills and Responsibilities

  • Ethical decision-making
  • Critical thinking
  • Effective communication
  • Diagnosing patients
  • Creating care plans
  • Collaborating with healthcare teams

While FNP training is broad, nurse practitioners may get certifications in specialized areas.

Family Nurse Practitioner Career Overview | (4)

Jose Luis Pelaez Inc / DigitalVision / Getty Images

Where Do FNPs Work?

FNPs can work in nearly any healthcare facility, including hospitals, urgent care establishments, or emergency rooms. However, nearly 14.5% of FNPs work in hospital outpatient departments, while 13.3% work in inpatient areas in hospitals.

  • Hospitals

    FNPs conduct checkups, order tests, and treat illnesses; they also perform procedures or assist in them, both surgical and bedside.

  • Private Practice

    FNPs record patient health history, observe and assess symptoms, and prescribe medication.

  • Internal Medicine Clinic

    FNPs perform exams, treat illnesses and injuries, and prescribe medication.

Why Become an FNP?

Prospective FNPs should explore what this specialty offers before enrolling in a program. The lists below look at the career path's common advantages and disadvantages.

Advantages to Becoming an FNP

  • FNPs can focus on preventative care, teaching healthy patients to maintain their condition.

  • Practitioners build genuine relationships with their clients and clients' families.

  • Graduates enter a growing field. Government data projects a 45% job growth increase through 2030.

Disadvantages to Becoming an FNP

  • FNP schedules do not offer much flexibility outside of inpatient care, where practitioners can work three 12-hour shifts a week.

  • FNPs cover a broader scope of the field, requiring practitioners to stay current on more information than specialties that focus on a target population.

  • FNPs face increased liabilities which come with being able to diagnose, treat, and prescribe to patients.

How to Become a Family Nurse Practitioner

Family Nurse Practitioner Career Overview | (5)

Earn an associate degree in nursing (ADN) or a bachelor of science in nursing (BSN).

Aspiring FNPs can begin their career by earning an ADN or a BSN to become registered nurses (RNs). ADN-holders must go on to earn a BSN or enroll in a nursing bridge program.

Family Nurse Practitioner Career Overview | (6)

Pass the National Council Licensure Examination (NCLEX) to receive RN licensure.

ADN and BSN graduates from accredited programs qualify to take the NCLEX-RN in their state. Licensure lets graduates acquire professional experience as an RN.

Family Nurse Practitioner Career Overview | (7)

Earn a master of science in nursing (MSN).

RNs with 1-2 years of experience can enroll in an MSN program. FNPs need an advanced nursing degree to practice.

Family Nurse Practitioner Career Overview | (8)

Pass the national FNP certification board exam.

Graduates can access these exams through the American Nurses Credentialing Center or the American Association of Nurse Practitioners.

Family Nurse Practitioner Career Overview | (9)

Get state licensure as a nurse practitioner.
(Video) Family Nurse Practitioner (FNP) Salary | NP Job Duties & Education Requirements

Featured Online MSN Programs

Certification Options for FNPs

FNPs do not need additional certifications to practice. However, certifications allow FNPs to establish a competitive advantage in the field and specialize in certain conditions.

Diabetes Management

The Board Certified-Advanced Diabetes Management certificate trains practitioners to manage complex care for patients with diabetes, which may include medication adjustments, consultations on lifestyle modifications, and addressing psychosocial problems.


  • Hold an RN, registered dietitian, registered pharmacist/doctor of pharmacy, physician assistant, or medical doctor/doctor of osteopathic medicine license
  • Earn an advanced nursing degree within two years of applying
  • Complete at least 500 clinical hours in advanced diabetes management

Renewal Cycle: 5 years

(Video) Family Nurse Practitioner | Salary and Job Description

Pain Management

This certification identifies FNPs who apply pain pathophysiology and physiology to core nursing processes, producing healthy and effective results for patients.


  • Hold an unencumbered RN license
  • Complete two years of experience as an RN
  • Acquire at least 2,000 practice hours within three years of taking the certification exam
  • Earn 30 hours of continuing education credits within three years of taking the NP certification exam, including 15 hours in pain management

Renewal Cycle: 5 years

Obesity Management

The Certificate of Advanced Education in Obesity Medicine provides FNPs with evidence-based treatment options to help patients struggling with obesity.

Requirements: Earn at least 60 continuing education credits within three years of applying for certification

Renewal Cycle: N/A

Acute/Critical Care

The American Association of Critical-Care Nurses offers certifications in adult, pediatric, neonatal, and gerontology specialties. FNPs may want to complete multiple certifications to provide care for patients of all ages.


  • An unencumbered advanced practice registered nurse (APRN) license
  • The two-year certification requires 1,750 hours of direct care with critically ill patients.
  • The five-year certification requires 2,000 hours of direct care with critically ill patients.

Renewal Cycle: 2-5 years


The Orthopaedic Nurses Certification Board offers the only credential for orthopaedic nursing. This certification ensures FNPs understand pertinent areas of this specialty.


  • Hold a current license
  • Three years of experience as an RN or APRN
  • Hold a master's degree in nursing with a nurse practitioner focus area
  • Acquire 2,000 hours of experience working with musculoskeletal conditions within the past three years

Renewal Cycle: 5 years

Emergency Care Nurse Practitioner

Becoming an emergency nurse practitioner-board certified allows FNPs to care for patients in emergency situations. This certification is often required to practice in this niche area.


  • Hold an unencumbered RN license
  • Earn an advanced nursing degree from an accredited program
  • Earn at least 2,000 emergency care hours within five years of applying for certification

Renewal Cycle: 5 years

(Video) I Quit My Family Nurse Practitioner Job

Careers Related to FNP

msn Required

High Demand

Pain Management Nurse Practitioner

Pain management nurse practitioners work with patients experiencing chronic or acute pain and prescribe treatments.

Salary $111,560

Job Outlook 46% job growth by the year 2031 for NPs

Learn More About Pain Management Nurse Practitioners

msn Required

High Demand

Neonatal Nurse Practitioner

Neonatal nurse practitioners provide nursing care for newborn infants, generally in hospitals. While they care for infants, they also work with the new parents.

Salary $111,070

Job Outlook 46% job growth by the year 2031 for NPs

Learn More About Neonatal Nurse Practitioners

msn or dnp Required

High Demand

Adult Nurse Practitioner

Adult nurse practitioners provide primary care for adults in a range of healthcare settings, including hospitals, health systems, and independent practices.

msn Required

High Demand

(Video) FAMILY NURSE PRACTITIONER | Everything You Need to Know About Being a FNP

Psychiatric Nurse Practitioner

Psychiatric nurse practitioners, also known as mental health nurse practitioners, specialize in providing mental health treatment, in both inpatient and outpatient settings.

Salary $113,700

Job Outlook 46% increase from 2021-2031

Learn More About Psychiatric Nurse Practitioners

msn Required

High Demand

Women's Health Nurse Practitioner

Women's health nurse practitioners specialize in women's health, especially obstetric and gynecological (ob/gyn) health. They typically work in hospitals, health systems, and independent practices.

Salary $96,620

Job Outlook 46% job growth by the year 2031 for NPs

How Much Do Family Nurse Practitioners Make?

Licensed FNPs enter a growing field that offers lucrative opportunities. The U.S. Bureau of Labor Statistics shows a projected 45% increase in employment through 2029. Geographic location also plays a part in earning potential. States with the highest job growth rates include Arizona, Colorado, and Georgia.

FNPs should also note that multiple factors influence compensation. For instance, the 2019 AANP Compensation Overview indicates that nearly 70% of nurse practitioners hold salaried jobs, while the remaining hold hourly positions. Specialty areas also influence earning potential, and FNPs can earn $114,000 on average.

Find State-Specific Salary Data

Frequently Asked Questions About FNPs

How long does it take to become an FNP?

Earning an FNP license can require 2-5 years depending on a student's education level. For instance, ADN-holders do not complete the liberal arts portion of a BSN and may want to consider bridge programs. RNs with a BSN can apply directly to MSN programs.

Can FNPs prescribe medicine?

While nurse practitioners can prescribe medication, they must follow state regulations. Certain states require FNPs to establish an agreement with collaborating physicians, while other states offer full prescriptive authority. States may also require a probationary period during which FNPs collaborate with a physician.

How much does an FNP make in a year?

Many factors influence FNP earning potential, including geographic location, salaried positions versus hourly positions, and the type of healthcare organization practitioners work in. For instance, FNPs managing their own practice may earn more than practitioners working in clinics. However, FNPs earn about $98,490 on average, according to Payscale in August 2022.

What is the difference between a physician and an FNP?

FNPs face increasing responsibilities, allowing them to perform many of the same duties as physicians. However, physicians spend more time training, which gives them more authority. Physicians get licensure from a medical board, while FNPs get their license from a nursing board.

Resources for Family Nurse Practitioners

  • American Association of Nurse Practitioners

    AANP exists to improve the quality of healthcare through education, practice, and research. FNPs gain access to a vast network with over 118,000 members. Other membership benefits include free continuing education credits and free access to the Journal of American Association of Nurse Practitioners. Members also qualify for scholarships and grants.
  • The National Organization of Nurse Practitioner Faculties

    The NONPF promotes cutting-edge education and resources for nurse practitioners. Member benefits include discounted rates for conferences, webinars, and Fitzgerald publications. NONPF also provides a free career center listing each year. Online resources include archives, papers, newsletters, and a simulation portal.
  • American Nurses Association

    Established in 1896, ANA supports RNs by advocating for medicare reform, workplace safety, and reimbursement for healthcare services. Members can access free webinars, continuing education credits, and a career center. The association also hosts online forums, conferences, and state-level meetings.
  • National Black Nurse Practitioner Association

    Founded in 2010, the NBNPA primarily works with practitioners in Houston and the surrounding areas to improve healthcare-related disparities in underserved communities. NBNPA membership includes networking opportunities, discounted AANP membership, continuing education courses, and access to monthly meetings. Members can also access a career center and scholarship opportunities.
  • State Nurses Associations

    State nurses associations offer a powerful platform that protects members and strives to advance the nursing field. Core values include social responsibility, integrity, and collaboration. FNPs can access continuing education credits, career guidance, grants and scholarships, and weekly updates on important trending topics on the website.

Related FNP Career Resources

Related FNP Program Resources

Reviewed by:

Family Nurse Practitioner Career Overview | (14)

Elizabeth Clarke, FNP, MSN, RN, MSSW

Elizabeth Clarke (Poon) is a board-certified family nurse practitioner who provides primary and urgent care to pediatric populations. She earned a BSN and MSN from the University of Miami.

Clarke is a paid member of our Healthcare Review Partner Network. Learn more about our review partners.

(Video) Nurse Practitioner Salary 2022 (Nurse Practitioner School, Job Overview, Etc)


What type of NP is most in demand? ›

The most popular NP specialty is a family practice. This is most likely due to the flexibility the job offers. If you pursue FNP in school—you can work in family medicine, urgent care, and most specialty clinics, including palliative care and hospice.

What are the 6 FNP domains? ›

Nurses work alongside clients providing information and guidance about specific domains relating to their pregnancy and parenthood:
  • Life skills.
  • Your health and wellbeing.
  • Looking after your baby.
  • Your baby's development.
  • Safety and stability.
  • Connecting with your baby.
  • Relationship.
  • Family and support network.

How much do NPS make in NJ? ›

The average nurse practitioner salary in New Jersey is $65.87 an hour, which adds up to $11,420 a month or $137,010 a year.

How long do you have to be in school to be a nurse practitioner? ›

How Many Years Does it Take to Become a Nurse Practitioner? Generally, it takes around 6 to 8 years of studying and training to become a nurse practitioner.

What is the least stressful NP specialty? ›

  1. School Nurse Practitioner. ...
  2. Medical Writer. ...
  3. Nurse Educator. ...
  4. Clinic Nurse Practitioner. ...
  5. Public Health NP. ...
  6. Clinical Research NP. ...
  7. Weight Loss Clinic NP. ...
  8. Nurse Informatics.

What is the easiest nurse practitioner? ›

  1. Adult-Gerontology Nurse Practitioner. ...
  2. Pediatric Nurse Practitioner. ...
  3. Family Nurse Practitioner. ...
  4. Occupational Health Nurse Practitioners (OHNP) ...
  5. Aesthetic Nurse Practitioner.

What evidence is there that FNP makes a difference? ›

Improved prenatal health • Fewer childhood injuries • Fewer subsequent pregnancies • Greater intervals between births • Increased maternal employment • Improved school readiness Page 2 -2- Many of the outcomes were strongest for or restricted to, the most vulnerable -- notably women who were low income, young and ...

What are the aims of FNP? ›

What is FNP? FNP has three aims: to improve pregnancy outcomes, improve child health and development and improve parents' economic self-sufficiency. FNP is a voluntary, preventive programme for vulnerable young first time mothers.

What is included in the 7 domains of competency for nurse practitioners? ›

The competencies are organized in seven content domains: Management of Patient Health/Illness Status, The Nurse Practitioner-Patient Relationship, The Teaching-Coaching Function, Professional Role, Managing and Negotiating Health Care Delivery Systems, Monitoring and Ensuring the Quality of Health Care Practices and ...

What NP makes the most money? ›

How Much Do Pediatric Primary Care Nurse Practitioners Make. Pediatric primary care is among the highest-paid NP specialties. You can expect an average annual salary of $113,387, which translates to $54.51 per hour.

Where are the highest paid nurse practitioners? ›

According to data from the U.S. Bureau of Labor Statistics, California is the highest paying state for nurse practitioners. Entry-level nurse practitioners in the state earn over $50 hourly and average about $107,310 yearly. NPs with ten to nineteen years can earn up to $165,140 yearly.

How much do FNP make in Texas? ›

Texas nurse practitioners earn 0% lower than the national average salary for NPs, at $118,040 (or $56.75 per hour).
Nurse practitioner salary range in Texas.
Annual SalaryHourly Wage
90th Percentile$154,080$74
75th Percentile$128,810$61
25th Percentile$99,880$48
3 more rows

Which nurse practitioner gets paid the most? ›

How Much Do Pediatric Primary Care Nurse Practitioners Make. Pediatric primary care is among the highest-paid NP specialties. You can expect an average annual salary of $113,387, which translates to $54.51 per hour.

Where do NPs make the most money? ›

According to data from the U.S. Bureau of Labor Statistics, California is the highest paying state for nurse practitioners. Entry-level nurse practitioners in the state earn over $50 hourly and average about $107,310 yearly. NPs with ten to nineteen years can earn up to $165,140 yearly.

Do Pmhnp make more than FNP? ›

The average hourly pay for the FNP is $46.22, while the PMHNP earns around $53 per hour. These numbers are a reflection of the national average for these two job fields. Things that will affect your hourly pay rate are what state you are working in, if you are in a specialty, and the setting in which you are working.

Which is better FNP or AGNP? ›

Both can act as primary care providers and have similar licensing requirements. The most significant difference between a family nurse practitioner and an adult-gerontology nurse practitioner is that FNPs care for patients of all ages, including children, while AGNPs care only for adolescents through adults.


1. An Overview of the Family Nurse Practitioner Question Bank
2. Family Nurse Practitioner
(University of Cincinnati College of Nursing)
3. Family Nurse Practitioner — APRN at U-M School of Nursing
4. Ida Moffett School of Nursing Nurse Practitioner Residency
(Samford University)
5. Nurse Practitioner Careers Overview
(UnitedHealth Group)
6. Understanding New Grad Nurse Practitioner Job Offers
(Real World NP)

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