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PA vs NP: what is the difference?
Both typically need a master's degree. PAs pass a qualifying exam to be licensed and may use the PA-C credential. NPs are advanced practice registered nurses: they need an RN license, an accredited graduate program, a national certification exam, and an APRN license.
Facts only, from 2 cited sources, checked October 23, 2026. This page does not recommend either option.
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PA vs NP side by side
| Physician assistant | Nurse practitioner | Source | |
|---|---|---|---|
| Typical entry-level education | Master's degree | Master's degree | BLS Occupational Outlook Handbook: Physician Assistants |
| Licensing | All states require a license; pass a qualifying exam; credential PA-C | RN license, accredited graduate program, national certification exam, and an APRN license (state rules vary) | BLS Occupational Outlook Handbook: Physician Assistants |
| Median pay, 2025 | $135,880 a year ($65.33 an hour) | $132,300 a year for nurse practitioners (May 2025) | BLS Occupational Outlook Handbook: Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners |
| Number of jobs, 2025 | 168,900 | 399,000 (NPs, nurse anesthetists, and nurse midwives combined) | BLS Occupational Outlook Handbook: Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners |
| Job outlook, 2025-35 | 21% (much faster than average) | 36% (much faster than average), combined group | BLS Occupational Outlook Handbook: Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners |
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What is the difference between PA and NP?
Both typically need a master's degree. PAs pass a qualifying exam to be licensed and may use the PA-C credential. NPs are advanced practice registered nurses: they need an RN license, an accredited graduate program, a national certification exam, and an APRN license.
Who earns more, a PA or an NP?
BLS May 2025 medians: physician assistants $135,880, nurse practitioners $132,300. Pay varies by state, setting, and specialty.