What is a Family Nurse Practitioner (FNP)?

Is becoming a family nurse practitioner the right choice for your healthcare or nursing career? Continue reading to get the full scoop on the profession and how to become an FNP.

FNP vs Nurse Practitioner vs APRN: What’s the Difference?

Since there are so many different roles, designations and degrees in nursing, the difference between nursing titles can get confusing. A family nurse practitioner (FNP) is a specific type of nurse practitioner (NP) that focuses on primary care for families. A nurse practitioner is one type of advanced practice registered nurse (APRN). APRNs have more extensive training than a RN and have earned a graduate degree in the nursing field. So technically, an FNP is considered both a nurse practitioner and an APRN.

FNPs are also one of the most common types of nurse practitioners; almost 70% of nurse practitioners practice as FNPs.

Where Do FNPs Work?

While some FNPs choose to have their own private family nursing practice, most work in a primary care setting with other health professionals. FNPs must work with a collaborative physician early in their career, but can operate independently after completing a minimum number of practice hours. As an FNP and APRN, you can also work in hospitals, clinics, community health centers or almost any other setting where highly trained nurses are needed. To work in the emergency room, you may need additional certification, depending on your state or hospital’s requirements.

Responsibilities of an FNP

Family nurse practitioners treat patients across the lifespan, from infants to senior citizens. As an FNP, you’ll have the opportunity to build strong relationships with your patients and a long-term understanding of their health challenges. Unlike an RN working in a hospital, as an FNP working in primary care you may get to know your individual patients over years or potentially even decades. Here are some of the day-to-day responsibilities you might tackle as an FNP:

• Perform physical assessments or diagnostic tests
• Determine patient treatment plants
• Treat patients for a range of illnesses or injuries
• Educate patients on preventing disease and healthy lifestyle changes
• Record and maintain patient medical histories

FNPs treat a wide range of acute and chronic conditions. This includes treating ailments like sinus infections and bronchitis, helping patients cope with life-long conditions like diabetes, or monitoring a patient’s sprain or broken bone as it heals. Many FNPs are generalists who use their strong communication and diagnostics skills to diagnose and treat patient conditions, or refer their patient to a specialist. According to a 2020 survey by the American Association of Nurse Practitioners, the top conditions treated by FNPs include UTIs, abdominal pain, and gastroesophageal reflux disease.

Freedom of Practice for FNPs

The scope of practice for an FNP varies by state. In 27 to 28 states plus the District of Columbia grant Nurse Practitioners (NPs) full practice authority, FNPs have full practice authority and have most of the same freedoms as a primary care physician. In other states, FNPs need to work with a physician or have a physician’s approval for some actions.

While FNPs have the authority to prescribe medication in all 50 states and Washington D.C., they may need to consult a physician when prescribing certain medications, such as opioids. In general, FNPs (and all APRNs) are not qualified to perform complex surgeries.

In New York, experienced Nurse Practitioners (NPs) with more than 3,600 hours of clinical experience can practice independently without a written collaborative agreement or supervision from a physician.

How to Become a Family Nurse Practitioner

In order to start the journey to becoming a Family Nurse Practitioner, you’ll need a bachelor’s degree in nursing. If you’re already an RN but don’t have a bachelor’s degree, an RN to BSN degree program is a good choice to continue your nursing education.

Once you have both your bachelor’s and nursing license, you can apply to a BS-to-DNP graduate program. By the end of your BS-to-DNP program, you’ll have your graduate degree in FNP and can apply for FNP certification.

Our BS-to-DNP graduate program prepares you for FNP certification. Our program is designed with the working RN in mind, with classes offered once a week, and our small class sizes allow for more individualized attention from our instructors. Learn more about our BS-to-DNP and see if our program is the right fit for your nursing career. 

Doctor of Nursing Practice (DNP) is a terminal degree in nursing. Touro University School of Health Sciences BS‑to‑DNP Family Nurse Practitioner Program offers a streamlined path for nurses to advance from bachelor‑level education to doctoral‑level FNP practice, strengthening clinical expertise, leadership capacity, and long‑term career opportunities.

Family Nurse Practitioner Salary

On average, FNPs earn an annual salary of between $115,000 to $135,000, according to an industry survey on Nurse.org. Salary also varies depending on work setting and location. The highest FNP salaries are generally for inpatient care at a hospital, while the second highest salaries are for outpatient care. After this is working for urgent care clinics or a medical office or private practice. The lowest salaries are FNPs working as faculty or researchers in an academic setting. Regardless of the setting you choose, any FNP role is well-compensated.

The Future of FNPs

There’s no question that the demand for Family Nurse Practitioners will continue to grow. As many aging physicians start to retire, the nationwide shortage of primary care doctors will only increase. FNPs, with many of the same skills and responsibilities of primary care physicians, are greatly needed to help address this shortage.

There’s plenty of evidence to show that the increased presence of nurse practitioners in the healthcare industry has a profound impact on patient health. According to peer-reviewed research, patients under the care of nurse practitioners have fewer hospitalizations, fewer unnecessary visits to the ER, and higher patient satisfaction than patients under the care of physicians. 

It’s not hard to see why many nurses would consider the additional training and education required to become a family nurse practitioner. Many RNs and aspiring nurses who want more autonomy, greater freedom to practice, and long-term connections with their patients often choose to pursue the path of an FNP.

Reviewed by Chin Tam DNP, APRN, FNP-BC, Assistant Director of the DNP Program