2026 North Carolina Nurse Practitioner (NP) Programs

# 2026 North Carolina Nurse Practitioner (NP) Programs

**Author:** NP Degrees Editorial Team
**Published:** June 23, 2026
**Updated:** June 23, 2026

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North Carolina has one of the largest and most diverse NP education markets in the Southeast. The state's combination of major healthcare hubs, growing metropolitan regions, rural communities, and nationally recognized academic health systems creates a broad range of clinical training opportunities.  
  
 This guide explores North Carolina NP programs, specialty options, and key considerations to help prospective students identify a pathway that aligns with their professional goals and interests. 
  
 ## **Featured NP Programs in North Carolina**  
  
 The following programs highlight a variety of educational approaches, clinical training models, specialty offerings, and progression pathways. Comparing these schools can help prospective students better understand the opportunities available before exploring the broader directory section that follows. 
  
 **Duke University** 
Nursing School [Duke University School of Nursing] (https://nursing.duke.edu/) 
Selected Programs MSN, DNP, BSN to DNP, Post-Master’s DNP, Executive Leadership DNP, Nurse Anesthesia DNP, Post-Graduate Certificates
NP Specialties Adult-Gerontology Acute Care NP, Adult-Gerontology Primary Care NP, Family NP, Neonatal NP, Pediatric Acute Care NP, Pediatric Primary Care NP, Psychiatric-Mental Health NP, Women’s Health NP
Program Format MSN programs are distance-based with on-campus intensives for clinical students. Most DNP options are distance-based with on-campus sessions, while the Nurse Anesthesia DNP is completed on campus.
Clinical & Specialty Options Duke reports clinical partnerships at more than 2,000 locations worldwide. Students can also add specialty certificates such as cardiology, endocrinology, oncology and orthopedics.
Accreditation The MSN, DNP, post-graduate APRN certificate and ABSN programs are accredited by CCNE. The Nurse Anesthesia DNP is accredited by the COA.
Overview Duke University School of Nursing offers advanced nursing pathways through MSN, DNP, BSN-to-DNP and post-graduate certificate options. NP students can choose from several population-focused specialties, with distance-based coursework, on-campus intensives and clinical placement experiences. The DNP emphasizes translation, transformation and leadership, with project work designed to connect evidence-based practice to healthcare improvement.
About the School Duke University is a private research university in Durham, North Carolina. Its School of Nursing is part of the Duke University Health Care System and emphasizes health equity, clinical practice, research and nursing leadership. 
  
 **University of North Carolina at Chapel Hill** 
Nursing School [UNC School of Nursing] (https://nursing.unc.edu/) 
Selected Programs MSN, DNP, MSN to DNP, Post-Graduate Certificate Programs
NP Options MSN and DNP Nurse Practitioner options are offered; rankings note Family NP and Psychiatric-Mental Health NP.
Format MSN and DNP options are distance-based, with full- and part-time MSN options.
Program Focus MSN pathways include Nurse Practitioner Advanced Practice Areas and Health Care Leadership and Administration. DNP pathways include Nurse Practitioner Options and Health Care Leadership and Administration.
Licensure Graduates of MSN and DNP nurse practitioner programs are eligible to practice in all 50 states with proof of national certification.
Overview UNC School of Nursing offers distance-based graduate pathways for nurses seeking advanced practice, leadership or doctoral preparation. Its MSN includes NP and health care leadership options, while DNP pathways include NP options, health care leadership and administration, and MSN-to-DNP study.
About the School UNC-Chapel Hill is a public research university in Chapel Hill, North Carolina. The School of Nursing is located near UNC’s schools of medicine, public health, pharmacy, dentistry and social work, as well as UNC Hospitals. 
  
 **East Carolina University** 
Nursing School [College of Nursing] (https://nursing.ecu.edu/) 
Selected Programs MSN, DNP, Post-Master’s Certificate, Post-Master’s DNP, Health Systems Leadership DNP
NP Specialties MSN: Neonatal Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner. DNP: Adult-Gerontology Primary Care Nurse Practitioner, Family Nurse Practitioner, Adult-Gerontology Acute Care Nurse Practitioner, Nurse Anesthesia.
Program Features DNP program highlights include personalized faculty mentorship throughout the DNP project, assistance with clinical site placements, simulation laboratory and standardized patient experiences, interprofessional coursework, and a focus on rural and underserved populations.
Recognition & Rankings Ranked the #1 online public master’s nursing program in North Carolina and #10 nationally among online master’s nursing programs by U.S. News & World Report (2025).
Accreditation The DNP program and post-graduate APRN certificate are accredited by the Commission on Collegiate Nursing Education (CCNE).
Overview East Carolina University’s College of Nursing offers MSN and DNP pathways for nurses seeking advanced clinical and leadership roles. NP-focused options include neonatal, psychiatric-mental health, family, adult-gerontology primary care, and adult-gerontology acute care specialties. The college emphasizes preparation for practice in rural and underserved communities, supported by faculty mentorship, simulation experiences, and clinical placement assistance.
About the School East Carolina University is a public university located in Greenville, North Carolina. Its College of Nursing is recognized for online graduate nursing education and has longstanding designation as a National League for Nursing Center of Excellence in Nursing Education. 
  
 **University of North Carolina at Charlotte** 
Nursing School [School of Nursing, College of Health and Human Services] (https://nursing.charlotte.edu/) 
Selected Programs Family Nurse Practitioner Across the Lifespan (MSN), Adult-Gerontology Acute Care Nurse Practitioner (MSN), Nursing Practice: Post-Master’s (DNP), Family Nurse Practitioner Across the Lifespan (Post-Master’s Certificate), Adult-Gerontology Acute Care Nurse Practitioner (Post-Master’s Certificate)
Learning Resources The Learning Resource Center supports student learning through faculty-led simulation experiences and debriefings designed to build clinical competence and self-reflection.
Program Formats The MSN Family Nurse Practitioner Across the Lifespan and Adult-Gerontology Acute Care Nurse Practitioner concentrations are campus-based programs.
DNP Option The post-master’s DNP is designed for APRNs and non-APRN nursing leaders to apply evidence-based research in nursing practice, organizations, and systems of care.
Certificates Post-master’s APRN certificates are available in Family Nurse Practitioner Across the Lifespan and Adult-Gerontology Acute Care Nurse Practitioner.
Accreditation & Outcomes UNC Charlotte describes its nursing programs as nationally accredited and notes strong licensure and certification pass rates across NCLEX, AGACNP, FNP, and Nurse Anesthesia exams.
Overview UNC Charlotte’s School of Nursing offers several NP-focused pathways, including MSN concentrations in family and adult-gerontology acute care practice, post-master’s APRN certificates, and a post-master’s DNP. The school emphasizes simulation-based learning, faculty support, research engagement, and healthcare partnerships that support clinical and professional development.
About the School UNC Charlotte is a public research university in Charlotte, North Carolina. Its School of Nursing is part of the College of Health and Human Services and offers nursing pathways from undergraduate through doctoral study. 
  
 **University of North Carolina at Greensboro** 
Nursing School [School of Nursing] (https://nursing.uncg.edu/) 
Selected Programs Family Nurse Practitioner (MSN), Adult-Gerontological Primary Care Nurse Practitioner (DNP), Post-Master’s DNP, Psychiatric-Mental Health Nurse Practitioner (Post-Graduate Certificate)
Learning Format UNCG offers flexible learning options that include online and hybrid programs. The PMHNP Post-Graduate Certificate is delivered in an asynchronous online format, and MSN pathways include online courses and part-time study options.
Clinical & Experiential Learning Students participate in community engagement activities, clinical rotations, service-learning projects, and immersive learning experiences that include virtual reality technology. The DNP program also emphasizes experiential learning with field experts and access to simulation facilities.
PMHNP Certificate The Psychiatric-Mental Health Nurse Practitioner Post-Graduate Certificate consists of 23 credit hours, 510 clinical hours, seven courses, and is designed to be completed in four semesters (15 months). The curriculum covers psychotherapy, psychopharmacology, trauma-informed care, medication management, and mental health care across the lifespan.
Program Outcomes & Rankings The School of Nursing reports a 94% three-year average first-time pass rate for Family Nurse Practitioner certification and a 90% three-year average first-time pass rate for Adult-Gerontology Primary Care Nurse Practitioner certification. The DNP program reports 100% employment of graduates in nursing positions.
Affordability & Faculty Support The school highlights affordable tuition, scholarship opportunities, small class sizes, and instruction from experienced faculty who provide mentorship and individualized support.
Overview UNCG’s School of Nursing offers multiple advanced practice pathways, including MSN and DNP options for nurse practitioners as well as a PMHNP post-graduate certificate. Programs emphasize flexibility, affordability, experiential learning, simulation, and preparation for advanced clinical and leadership roles. The PMHNP certificate provides a fully online pathway for practicing nurse practitioners seeking psychiatric-mental health specialization.
About the School The University of North Carolina at Greensboro is a public university located in Greensboro, North Carolina. Its School of Nursing offers undergraduate, graduate, doctoral, and certificate programs while maintaining a strong focus on community engagement, research, and student-centered education. 
  
 **Western Carolina University** 
Nursing School [School of Nursing] (https://www.wcu.edu/learn/departments-schools-colleges/HHS/nursing/) 
Selected Programs Doctor of Nursing Practice (Post-MSN), DNP Family Nurse Practitioner, DNP Psychiatric Mental Health Nurse Practitioner, DNP Nurse Anesthesia
Program Delivery Programs are offered in a variety of formats, including online options that allow nurses to pursue graduate education while continuing their careers.
Learning Environment Students have access to state-of-the-art classroom and laboratory facilities, along with hands-on learning opportunities through clinical partnerships and service-learning experiences.
Graduate Nursing Focus WCU offers master's and doctoral nursing education and identifies itself as a leading provider of master's- and doctorate-level nurse training in western North Carolina.
Locations Nursing programs are available at WCU’s main campus in Cullowhee, at the Asheville instructional site, and through online learning formats, depending on the program.
Accreditation & Affordability The School of Nursing describes its undergraduate and graduate programs as nationally ranked, accredited, and highly affordable.
Overview Western Carolina University’s School of Nursing offers several advanced practice pathways, including DNP programs in Family Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner, Nurse Anesthesia, and a Post-MSN DNP option. Programs emphasize flexible delivery formats, clinical partnerships, service learning, and access to modern educational facilities designed to support advanced nursing practice and leadership development.
About the School Western Carolina University is a public university located in Cullowhee, North Carolina. The School of Nursing is housed within the College of Health and Human Sciences and serves students across western North Carolina through campus, instructional-site, and online offerings. 
  
 **Winston-Salem State University** 
Nursing School [Division of Nursing, School of Health Sciences] (https://www.wssu.edu/academics/colleges-and-departments/school-of-health-sciences/division-of-nursing/) 
Selected Programs Family Nurse Practitioner (MSN), Family Nurse Practitioner (BSN-DNP), MSN-DNP, Executive Nurse Educator & Leadership (MSN)
Program Delivery The MSN and DNP programs are fully online. DNP courses are delivered through a combination of synchronous and asynchronous online instruction.
DNP Pathways WSSU offers both BSN-DNP and MSN-DNP pathways. The BSN-DNP pathway includes a Family Nurse Practitioner specialization, while the MSN-DNP pathway is designed for nurses who already hold a master’s degree in advanced nursing practice or nursing leadership fields.
Clinical Requirements The BSN-DNP curriculum includes a minimum of 1,182 clinical hours, while the MSN-DNP pathway includes a minimum of 510 clinical hours.
Mission & Focus The Division of Nursing emphasizes leadership, social justice, health equity, culturally responsive care, and service to underserved individuals and communities through its HBCU-centered educational mission.
Accreditation The baccalaureate, master’s, DNP, and post-graduate APRN certificate programs are accredited by the Commission on Collegiate Nursing Education (CCNE).
Overview Winston-Salem State University offers fully online graduate nursing pathways for nurses seeking advanced practice and leadership roles. NP-focused options include the Family Nurse Practitioner MSN concentration and the BSN-DNP Family Nurse Practitioner pathway. Programs emphasize evidence-based practice, healthcare leadership, health equity, and preparation for advanced nursing roles while providing flexible online learning formats for working professionals.
About the School Winston-Salem State University is a public historically Black university (HBCU) located in Winston-Salem, North Carolina. The Division of Nursing, housed within the School of Health Sciences, offers nursing education at the baccalaureate, master’s, doctoral, and post-graduate certificate levels. 
  
 **Appalachian State University** 
Nursing School [Department of Nursing] (https://nursing.appstate.edu/) 
Selected Programs Doctor of Nursing Practice (DNP-FNP)
Program Format The DNP-FNP program uses a hybrid format with online coursework and a one-week intensive residency each semester at the App State Hickory campus, where students utilize simulation laboratories for clinical skill development.
Population Focus The program is designed to advance health equity in rural and underserved communities and prepares Family Nurse Practitioners to address healthcare provider shortages across North Carolina and beyond.
Clinical Experience The curriculum requires a minimum of 1,000 hours of direct and indirect advanced practice clinical experiences. Clinical hours are completed in students’ home regions, with clinical placement staff assisting in securing appropriate sites.
Curriculum The program consists of 76 total credit hours, including 67 credit hours of required core coursework and 9 credit hours of specialty cognates in Nursing Education, Public Health, or Health Administration.
Accreditation Status The DNP program received SACSCOC approval to begin enrolling students in Fall 2026. Appalachian State is pursuing initial CCNE accreditation for the DNP program, with a site visit anticipated during the program’s first year of enrollment.
Overview Appalachian State University’s DNP-FNP program is a hybrid doctoral pathway that prepares nurses for advanced clinical practice as Family Nurse Practitioners while emphasizing service to rural and underserved populations. Beginning in Fall 2026, the program combines online coursework, campus-based intensive residencies, and extensive clinical experiences completed in students’ home communities. Students may further tailor their education through focused studies in nursing education, public health, or health administration.
About the School Appalachian State University is a public university located in Boone, North Carolina. The Department of Nursing is housed within the Beaver College of Health Sciences and offers undergraduate and graduate nursing education focused on leadership, evidence-based practice, and meeting regional healthcare needs. 
  
 ## **North Carolina NP Program Directory**  
  
 **Institution** **Pathway Options** **Selected Specializations** **NP Certificates** 
**Appalachian State University** Boone, NC RN to Master’s, Master’s Family Nurse Practitioner 
**Duke University** Durham, NC Entry-Level Master’s, Master’s, Bachelor’s to DNP, Master’s to DNP Adult-Gerontology Acute Care Nurse PractitionerAdult-Gerontology Primary Care Nurse PractitionerFamily Nurse PractitionerNeonatal Nurse PractitionerPediatric Acute Care Nurse PractitionerPediatric Primary Care Nurse PractitionerPsychiatric Mental Health Nurse PractitionerWomen’s Health Nurse Practitioner Y
**East Carolina University** Greenville, NC Master’s, Bachelor’s to DNP, Master’s to DNP Adult-Gerontology Acute Care Nurse PractitionerAdult-Gerontology Primary Care Nurse PractitionerNeonatal Nurse PractitionerNurse MidwifePsychiatric-Mental Health Nurse Practitioner Y
**Lenoir-Rhyne University** Hickory, NC RN to Master’s, Master’s, Bachelor’s to DNP, Master’s to DNP Psychiatric Mental Health Nurse Practitioner Y
**North Carolina A&T State University** Greensboro, NC Bachelor’s to DNP, Master’s to DNP Psychiatric Mental Health Nurse Practitioner 
**University of North Carolina-Chapel Hill** Chapel Hill, NC Master’s, Bachelor’s to DNP, Master’s to DNP Adult-Gerontology Primary Care Nurse PractitionerFamily Nurse PractitionerPediatric Primary Care Nurse PractitionerPsychiatric-Mental Health Nurse Practitioner 
**University of North Carolina-Charlotte** Charlotte, NC Master’s, Bachelor’s to DNP, Master’s to DNP Adult-Gerontology Acute Care Nurse PractitionerFamily Nurse Practitioner Across the Lifespan Y
**University of North Carolina-Greensboro** Greensboro, NC Entry-Level Master’s, Master’s, Bachelor’s to DNP, Master’s to DNP Adult-Gerontological Primary Care Nurse PractitionerFamily Nurse PractitionerPsychiatric Mental Health Nurse Practitioner Y
**University of North Carolina-Pembroke** Pembroke, NC RN to Master’s, Master’s, Master’s to DNP Family Nurse Practitioner 
**University of North Carolina-Wilmington** Wilmington, NC Master’s, Bachelor’s to DNP, Master’s to DNP Adult-Gerontology Primary Care Nurse PractitionerFamily Nurse PractitionerPsychiatric Mental Health Nurse Practitioner 
**Western Carolina University** Cullowhee, NC Master’s, Bachelor’s to DNP, Master’s to DNP Family Nurse PractitionerPsychiatric Mental Health Nurse Practitioner 
**Winston-Salem State University** Winston-Salem, NC Master’s, Bachelor’s to DNP, Master’s to DNP Family Nurse Practitioner Y 
  
 ## **How to Choose an NP Program in North Carolina**  
  
 North Carolina offers one of the strongest NP education markets in the Southeast, with programs ranging from nationally recognized research universities to regional institutions focused on serving rural and underserved communities. As you compare programs, focus on specialization availability, delivery format, clinical support, and how each pathway aligns with your long-term career goals. 
  
 ### **Match your specialization to your goals**  
  
 North Carolina schools collectively offer nearly every major NP specialty. Duke University provides one of the broadest selections, including Adult-Gerontology Acute Care, Adult-Gerontology Primary Care, Family, Neonatal, Pediatric Acute Care, Pediatric Primary Care, Psychiatric-Mental Health, and Women's Health pathways. East Carolina University offers Neonatal, PMHNP, Family, Adult-Gerontology Primary Care, and Adult-Gerontology Acute Care options, while UNC Charlotte focuses on Family and Adult-Gerontology Acute Care preparation. Western Carolina University offers DNP pathways in Family and Psychiatric Mental Health practice, and Winston-Salem State University emphasizes Family Nurse Practitioner education. Students comparing North Carolina schools with other[ best nurse practitioner programs] (https://npdegrees.org/degrees/best-online-np-programs/)  should prioritize finding the specialty that aligns with their intended patient population and practice setting. 
  
 ### **Consider how the program is delivered**  
  
 Many North Carolina NP programs are designed to accommodate working nurses. Duke's MSN and most DNP programs use distance-based formats combined with on-campus intensives. UNC-Chapel Hill offers distance-based MSN and DNP pathways, while Winston-Salem State University delivers its MSN and DNP programs fully online. Appalachian State's new DNP-FNP uses a hybrid format with online coursework and brief campus residencies, and UNCG combines online and hybrid learning across several graduate pathways. Nurses researching[ how to become an NP] (https://npdegrees.org/careers/how-to-become-a-np/)  should compare residency requirements, clinical schedules, and campus expectations before selecting a program. 
  
 ### **Think about your geographic context**  
  
 North Carolina's healthcare landscape varies significantly across the state. Students in the Research Triangle, Charlotte, Winston-Salem, and Greenville often have access to large academic medical centers, specialty providers, and extensive healthcare systems. Meanwhile, schools such as East Carolina University, Appalachian State University, Western Carolina University, and Winston-Salem State University place strong emphasis on preparing graduates to serve rural and underserved communities. Clinical experiences can differ considerably depending on whether a student intends to practice in a major metropolitan area, a smaller city, or a rural region of the state. 
  
 ### **Look at program pathways and long-term flexibility**  
  
 North Carolina schools offer MSN, BSN-to-DNP, post-master's DNP, post-graduate certificate, and specialty-focused doctoral pathways. Duke, UNC-Chapel Hill, East Carolina University, and Winston-Salem State University all provide multiple progression routes depending on a nurse's educational background and career goals. Several schools also offer certificate pathways that allow practicing APRNs to add specialty preparation without completing an entirely new degree. Before selecting a pathway, students should review the[ NP accreditation guide] (https://npdegrees.org/accreditation/nurse-practitioner-guide/)  and confirm that the curriculum aligns with North Carolina[ nurse practitioner license requirements] (https://npdegrees.org/licensure/nurse-practitioner/)  and national certification standards. 
  
 ### **Evaluate clinical placement support**  
  
 Clinical placement support varies by institution. East Carolina University specifically highlights assistance with clinical site placements, while Appalachian State University provides clinical placement staff to help students secure sites in their home regions. Duke maintains clinical partnerships at more than 2,000 locations worldwide, and SUNY-style collaborative placement approaches are mirrored by several North Carolina schools that actively assist students with identifying preceptors and clinical opportunities. Before enrolling, students should ask whether placements are coordinated by the school, how preceptors are identified, and whether travel may be required for specialty-specific experiences. 
  
 ## **Finding Clinical Placements and Preceptors in North Carolina**  
  
 North Carolina offers NP students access to one of the largest and most diverse clinical training environments in the Southeast. Clinical experiences may take place in major academic medical centers, regional healthcare systems, rural hospitals, community health centers, behavioral health organizations, pediatric facilities, and specialty practices throughout the state. 
  
 ### **Major Clinical Training Environments**  
  
 Many North Carolina nursing schools maintain extensive healthcare partnerships that support advanced clinical education. 
    
- **Duke University**  reports clinical partnerships at more than 2,000 locations worldwide, providing access to a broad range of specialty and primary care experiences.    
- **East Carolina University**  emphasizes preparation for rural and underserved practice and assists students with clinical site placement.    
- **UNC-Chapel Hill**  benefits from close proximity to UNC Hospitals and one of the nation's leading academic health systems.    
- **UNC Charlotte**  incorporates simulation-based learning and healthcare partnerships that support advanced practice education.    
- **Appalachian State University**  assists DNP-FNP students with securing clinical sites in their home communities.    
- **Western Carolina University**  leverages clinical partnerships and service-learning opportunities throughout western North Carolina.    
 Students in North Carolina may encounter clinical opportunities connected to healthcare systems such as: 
    
- [Duke Health] (https://www.dukehealth.org/)     
- [UNC Health] (https://www.unchealth.org/)     
- [Atrium Health] (https://atriumhealth.org/)     
- [Novant Health] (https://www.novanthealth.org/)     
- [ECU Health] (https://www.ecuhealth.org/)     
- [Cone Health] (https://www.conehealth.com/)     
- [Cape Fear Valley Health] (https://www.capefearvalley.com/)     
- [Mission Health] (https://www.missionhealth.org/)     
 ### **How Geography Can Affect Placements**  
  
 Location can significantly influence clinical opportunities and specialty access. 
  
 Students in: 
    
- Charlotte    
- Raleigh    
- Durham    
- Chapel Hill    
- Winston-Salem    
 may have greater access to: 
    
- academic medical centers    
- specialty providers    
- pediatric and women's health services    
- psychiatric and behavioral health clinics    
- tertiary and quaternary care facilities    
 Students in rural and mountain regions may encounter: 
    
- fewer specialty preceptors nearby    
- longer travel requirements for some rotations    
- greater exposure to primary care and community-based healthcare    
- opportunities to serve medically underserved populations    
 Many North Carolina programs intentionally emphasize rural healthcare preparation because workforce shortages remain a challenge in several parts of the state. 
  
 ### **Online and Hybrid Program Considerations**  
  
 Many North Carolina NP programs use online, hybrid, or distance-based formats, but clinical education remains an in-person requirement. 
  
 Before enrolling, students should ask: 
    
- whether the school coordinates placements    
- if students must identify preceptors independently    
- whether travel is required for specialty rotations    
- how placements are managed for distance learners    
- whether clinical hours can be completed near home communities    
 These questions can be particularly important for students enrolled in online programs while living far from their school's primary campus. 
  
 ### **Program-Specific Placement Models**  
  
 Clinical support varies across North Carolina institutions. 
    
- **East Carolina University**  provides assistance with clinical site placement and emphasizes mentorship throughout the DNP experience.    
- **Appalachian State University**  uses clinical placement staff to help students identify sites within their home regions.    
- **Duke University**  leverages an extensive network of clinical partnerships across a wide range of practice settings.    
- **UNC-Chapel Hill** , **UNC Charlotte** , and **Western Carolina University**  support clinical education through healthcare partnerships, simulation resources, and faculty guidance.    
 Before enrolling, students should ask detailed questions about placement responsibilities, preceptor availability, travel expectations, and specialty-specific requirements. 
  
 ### **Professional Networking Resources**  
  
 Students looking for networking opportunities, continuing education, legislative updates, or potential preceptor connections may find the following organizations helpful: 
    
- [North Carolina Nurses Association] (https://www.ncnurses.org/)     
- [North Carolina Council of Nurse Practitioners] (https://www.ncnurses.org/networking/councils-and-commissions/nurse-practitioner-council/)     
- [North Carolina Area Health Education Centers (NC AHEC)] (https://www.ncahec.net/)     
- [North Carolina Rural Health Association] (https://www.ruralhealthnc.org/)     
- [North Carolina Community Health Center Association] (https://www.ncchca.org/)     
- [North Carolina Healthcare Association] (https://www.ncha.org/)     
 ## **NP Programs in North Carolina FAQ**  
  
 ### **Do NP programs in North Carolina require the GRE?**  
  
 GRE requirements vary by school and pathway. Many graduate nursing programs have reduced or eliminated standardized testing requirements for experienced nurses and doctoral applicants, but students should always verify current admissions requirements directly with the university. 
  
 ### **Can I complete an NP program online in North Carolina?**  
  
 Yes. North Carolina offers numerous online, hybrid, and distance-based NP pathways. Duke University, UNC-Chapel Hill, Winston-Salem State University, East Carolina University, UNCG, and Appalachian State University all offer graduate nursing pathways that incorporate online learning. Most programs still require clinical experiences, campus intensives, residencies, simulation activities, or other in-person components. 
  
 ### **How difficult is it to find a clinical preceptor in North Carolina?**  
  
 Preceptor availability varies by specialty and location. Students in major healthcare markets such as Charlotte, Raleigh-Durham, Winston-Salem, and Greenville often have access to larger provider networks, while students in rural regions may need to travel for certain specialty experiences. Some schools provide significant support. East Carolina University assists with clinical site placement, Appalachian State University provides placement support staff, and Duke maintains an extensive network of clinical partnerships. 
  
 ### **What NP specialties are available in North Carolina?**  
  
 North Carolina schools offer a wide range of specialties, including Family Nurse Practitioner, Adult-Gerontology Primary Care NP, Adult-Gerontology Acute Care NP, Psychiatric-Mental Health NP, Neonatal NP, Pediatric Primary Care NP, Pediatric Acute Care NP, Women's Health NP, and Nurse Anesthesia pathways. Specialty availability varies by institution and degree level. 
  
 ### **Can nurse practitioners practice independently in North Carolina?**  
  
 No. North Carolina is considered a [reduced practice state] (https://www.aanp.org/advocacy/state/state-practice-environment) . Nurse practitioners must maintain a collaborative practice agreement with a supervising physician to practice and prescribe medications. APRNs must also meet North Carolina licensing, national certification, and prescriptive authority requirements before practicing. Students should review current state regulations and certification standards before entering practice.

Duke University
Nursing School	[Duke University School of Nursing] (https://nursing.duke.edu/)
Selected Programs	MSN, DNP, BSN to DNP, Post-Master’s DNP, Executive Leadership DNP, Nurse Anesthesia DNP, Post-Graduate Certificates
NP Specialties	Adult-Gerontology Acute Care NP, Adult-Gerontology Primary Care NP, Family NP, Neonatal NP, Pediatric Acute Care NP, Pediatric Primary Care NP, Psychiatric-Mental Health NP, Women’s Health NP
Program Format	MSN programs are distance-based with on-campus intensives for clinical students. Most DNP options are distance-based with on-campus sessions, while the Nurse Anesthesia DNP is completed on campus.
Clinical & Specialty Options	Duke reports clinical partnerships at more than 2,000 locations worldwide. Students can also add specialty certificates such as cardiology, endocrinology, oncology and orthopedics.
Accreditation	The MSN, DNP, post-graduate APRN certificate and ABSN programs are accredited by CCNE. The Nurse Anesthesia DNP is accredited by the COA.
Overview	Duke University School of Nursing offers advanced nursing pathways through MSN, DNP, BSN-to-DNP and post-graduate certificate options. NP students can choose from several population-focused specialties, with distance-based coursework, on-campus intensives and clinical placement experiences. The DNP emphasizes translation, transformation and leadership, with project work designed to connect evidence-based practice to healthcare improvement.
About the School	Duke University is a private research university in Durham, North Carolina. Its School of Nursing is part of the Duke University Health Care System and emphasizes health equity, clinical practice, research and nursing leadership.

University of North Carolina at Chapel Hill
Nursing School	[UNC School of Nursing] (https://nursing.unc.edu/)
Selected Programs	MSN, DNP, MSN to DNP, Post-Graduate Certificate Programs
NP Options	MSN and DNP Nurse Practitioner options are offered; rankings note Family NP and Psychiatric-Mental Health NP.
Format	MSN and DNP options are distance-based, with full- and part-time MSN options.
Program Focus	MSN pathways include Nurse Practitioner Advanced Practice Areas and Health Care Leadership and Administration. DNP pathways include Nurse Practitioner Options and Health Care Leadership and Administration.
Licensure	Graduates of MSN and DNP nurse practitioner programs are eligible to practice in all 50 states with proof of national certification.
Overview	UNC School of Nursing offers distance-based graduate pathways for nurses seeking advanced practice, leadership or doctoral preparation. Its MSN includes NP and health care leadership options, while DNP pathways include NP options, health care leadership and administration, and MSN-to-DNP study.
About the School	UNC-Chapel Hill is a public research university in Chapel Hill, North Carolina. The School of Nursing is located near UNC’s schools of medicine, public health, pharmacy, dentistry and social work, as well as UNC Hospitals.

East Carolina University
Nursing School	[College of Nursing] (https://nursing.ecu.edu/)
Selected Programs	MSN, DNP, Post-Master’s Certificate, Post-Master’s DNP, Health Systems Leadership DNP
NP Specialties	MSN: Neonatal Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner. DNP: Adult-Gerontology Primary Care Nurse Practitioner, Family Nurse Practitioner, Adult-Gerontology Acute Care Nurse Practitioner, Nurse Anesthesia.
Program Features	DNP program highlights include personalized faculty mentorship throughout the DNP project, assistance with clinical site placements, simulation laboratory and standardized patient experiences, interprofessional coursework, and a focus on rural and underserved populations.
Recognition & Rankings	Ranked the #1 online public master’s nursing program in North Carolina and #10 nationally among online master’s nursing programs by U.S. News & World Report (2025).
Accreditation	The DNP program and post-graduate APRN certificate are accredited by the Commission on Collegiate Nursing Education (CCNE).
Overview	East Carolina University’s College of Nursing offers MSN and DNP pathways for nurses seeking advanced clinical and leadership roles. NP-focused options include neonatal, psychiatric-mental health, family, adult-gerontology primary care, and adult-gerontology acute care specialties. The college emphasizes preparation for practice in rural and underserved communities, supported by faculty mentorship, simulation experiences, and clinical placement assistance.
About the School	East Carolina University is a public university located in Greenville, North Carolina. Its College of Nursing is recognized for online graduate nursing education and has longstanding designation as a National League for Nursing Center of Excellence in Nursing Education.

University of North Carolina at Charlotte
Nursing School	[School of Nursing, College of Health and Human Services] (https://nursing.charlotte.edu/)
Selected Programs	Family Nurse Practitioner Across the Lifespan (MSN), Adult-Gerontology Acute Care Nurse Practitioner (MSN), Nursing Practice: Post-Master’s (DNP), Family Nurse Practitioner Across the Lifespan (Post-Master’s Certificate), Adult-Gerontology Acute Care Nurse Practitioner (Post-Master’s Certificate)
Learning Resources	The Learning Resource Center supports student learning through faculty-led simulation experiences and debriefings designed to build clinical competence and self-reflection.
Program Formats	The MSN Family Nurse Practitioner Across the Lifespan and Adult-Gerontology Acute Care Nurse Practitioner concentrations are campus-based programs.
DNP Option	The post-master’s DNP is designed for APRNs and non-APRN nursing leaders to apply evidence-based research in nursing practice, organizations, and systems of care.
Certificates	Post-master’s APRN certificates are available in Family Nurse Practitioner Across the Lifespan and Adult-Gerontology Acute Care Nurse Practitioner.
Accreditation & Outcomes	UNC Charlotte describes its nursing programs as nationally accredited and notes strong licensure and certification pass rates across NCLEX, AGACNP, FNP, and Nurse Anesthesia exams.
Overview	UNC Charlotte’s School of Nursing offers several NP-focused pathways, including MSN concentrations in family and adult-gerontology acute care practice, post-master’s APRN certificates, and a post-master’s DNP. The school emphasizes simulation-based learning, faculty support, research engagement, and healthcare partnerships that support clinical and professional development.
About the School	UNC Charlotte is a public research university in Charlotte, North Carolina. Its School of Nursing is part of the College of Health and Human Services and offers nursing pathways from undergraduate through doctoral study.

University of North Carolina at Greensboro
Nursing School	[School of Nursing] (https://nursing.uncg.edu/)
Selected Programs	Family Nurse Practitioner (MSN), Adult-Gerontological Primary Care Nurse Practitioner (DNP), Post-Master’s DNP, Psychiatric-Mental Health Nurse Practitioner (Post-Graduate Certificate)
Learning Format	UNCG offers flexible learning options that include online and hybrid programs. The PMHNP Post-Graduate Certificate is delivered in an asynchronous online format, and MSN pathways include online courses and part-time study options.
Clinical & Experiential Learning	Students participate in community engagement activities, clinical rotations, service-learning projects, and immersive learning experiences that include virtual reality technology. The DNP program also emphasizes experiential learning with field experts and access to simulation facilities.
PMHNP Certificate	The Psychiatric-Mental Health Nurse Practitioner Post-Graduate Certificate consists of 23 credit hours, 510 clinical hours, seven courses, and is designed to be completed in four semesters (15 months). The curriculum covers psychotherapy, psychopharmacology, trauma-informed care, medication management, and mental health care across the lifespan.
Program Outcomes & Rankings	The School of Nursing reports a 94% three-year average first-time pass rate for Family Nurse Practitioner certification and a 90% three-year average first-time pass rate for Adult-Gerontology Primary Care Nurse Practitioner certification. The DNP program reports 100% employment of graduates in nursing positions.
Affordability & Faculty Support	The school highlights affordable tuition, scholarship opportunities, small class sizes, and instruction from experienced faculty who provide mentorship and individualized support.
Overview	UNCG’s School of Nursing offers multiple advanced practice pathways, including MSN and DNP options for nurse practitioners as well as a PMHNP post-graduate certificate. Programs emphasize flexibility, affordability, experiential learning, simulation, and preparation for advanced clinical and leadership roles. The PMHNP certificate provides a fully online pathway for practicing nurse practitioners seeking psychiatric-mental health specialization.
About the School	The University of North Carolina at Greensboro is a public university located in Greensboro, North Carolina. Its School of Nursing offers undergraduate, graduate, doctoral, and certificate programs while maintaining a strong focus on community engagement, research, and student-centered education.

Western Carolina University
Nursing School	[School of Nursing] (https://www.wcu.edu/learn/departments-schools-colleges/HHS/nursing/)
Selected Programs	Doctor of Nursing Practice (Post-MSN), DNP Family Nurse Practitioner, DNP Psychiatric Mental Health Nurse Practitioner, DNP Nurse Anesthesia
Program Delivery	Programs are offered in a variety of formats, including online options that allow nurses to pursue graduate education while continuing their careers.
Learning Environment	Students have access to state-of-the-art classroom and laboratory facilities, along with hands-on learning opportunities through clinical partnerships and service-learning experiences.
Graduate Nursing Focus	WCU offers master's and doctoral nursing education and identifies itself as a leading provider of master's- and doctorate-level nurse training in western North Carolina.
Locations	Nursing programs are available at WCU’s main campus in Cullowhee, at the Asheville instructional site, and through online learning formats, depending on the program.
Accreditation & Affordability	The School of Nursing describes its undergraduate and graduate programs as nationally ranked, accredited, and highly affordable.
Overview	Western Carolina University’s School of Nursing offers several advanced practice pathways, including DNP programs in Family Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner, Nurse Anesthesia, and a Post-MSN DNP option. Programs emphasize flexible delivery formats, clinical partnerships, service learning, and access to modern educational facilities designed to support advanced nursing practice and leadership development.
About the School	Western Carolina University is a public university located in Cullowhee, North Carolina. The School of Nursing is housed within the College of Health and Human Sciences and serves students across western North Carolina through campus, instructional-site, and online offerings.

Winston-Salem State University
Nursing School	[Division of Nursing, School of Health Sciences] (https://www.wssu.edu/academics/colleges-and-departments/school-of-health-sciences/division-of-nursing/)
Selected Programs	Family Nurse Practitioner (MSN), Family Nurse Practitioner (BSN-DNP), MSN-DNP, Executive Nurse Educator & Leadership (MSN)
Program Delivery	The MSN and DNP programs are fully online. DNP courses are delivered through a combination of synchronous and asynchronous online instruction.
DNP Pathways	WSSU offers both BSN-DNP and MSN-DNP pathways. The BSN-DNP pathway includes a Family Nurse Practitioner specialization, while the MSN-DNP pathway is designed for nurses who already hold a master’s degree in advanced nursing practice or nursing leadership fields.
Clinical Requirements	The BSN-DNP curriculum includes a minimum of 1,182 clinical hours, while the MSN-DNP pathway includes a minimum of 510 clinical hours.
Mission & Focus	The Division of Nursing emphasizes leadership, social justice, health equity, culturally responsive care, and service to underserved individuals and communities through its HBCU-centered educational mission.
Accreditation	The baccalaureate, master’s, DNP, and post-graduate APRN certificate programs are accredited by the Commission on Collegiate Nursing Education (CCNE).
Overview	Winston-Salem State University offers fully online graduate nursing pathways for nurses seeking advanced practice and leadership roles. NP-focused options include the Family Nurse Practitioner MSN concentration and the BSN-DNP Family Nurse Practitioner pathway. Programs emphasize evidence-based practice, healthcare leadership, health equity, and preparation for advanced nursing roles while providing flexible online learning formats for working professionals.
About the School	Winston-Salem State University is a public historically Black university (HBCU) located in Winston-Salem, North Carolina. The Division of Nursing, housed within the School of Health Sciences, offers nursing education at the baccalaureate, master’s, doctoral, and post-graduate certificate levels.

Appalachian State University
Nursing School	[Department of Nursing] (https://nursing.appstate.edu/)
Selected Programs	Doctor of Nursing Practice (DNP-FNP)
Program Format	The DNP-FNP program uses a hybrid format with online coursework and a one-week intensive residency each semester at the App State Hickory campus, where students utilize simulation laboratories for clinical skill development.
Population Focus	The program is designed to advance health equity in rural and underserved communities and prepares Family Nurse Practitioners to address healthcare provider shortages across North Carolina and beyond.
Clinical Experience	The curriculum requires a minimum of 1,000 hours of direct and indirect advanced practice clinical experiences. Clinical hours are completed in students’ home regions, with clinical placement staff assisting in securing appropriate sites.
Curriculum	The program consists of 76 total credit hours, including 67 credit hours of required core coursework and 9 credit hours of specialty cognates in Nursing Education, Public Health, or Health Administration.
Accreditation Status	The DNP program received SACSCOC approval to begin enrolling students in Fall 2026. Appalachian State is pursuing initial CCNE accreditation for the DNP program, with a site visit anticipated during the program’s first year of enrollment.
Overview	Appalachian State University’s DNP-FNP program is a hybrid doctoral pathway that prepares nurses for advanced clinical practice as Family Nurse Practitioners while emphasizing service to rural and underserved populations. Beginning in Fall 2026, the program combines online coursework, campus-based intensive residencies, and extensive clinical experiences completed in students’ home communities. Students may further tailor their education through focused studies in nursing education, public health, or health administration.
About the School	Appalachian State University is a public university located in Boone, North Carolina. The Department of Nursing is housed within the Beaver College of Health Sciences and offers undergraduate and graduate nursing education focused on leadership, evidence-based practice, and meeting regional healthcare needs.

Institution	Pathway Options	Selected Specializations	NP Certificates
Appalachian State University Boone, NC	RN to Master’s, Master’s	Family Nurse Practitioner
Duke University Durham, NC	Entry-Level Master’s, Master’s, Bachelor’s to DNP, Master’s to DNP	Adult-Gerontology Acute Care Nurse PractitionerAdult-Gerontology Primary Care Nurse PractitionerFamily Nurse PractitionerNeonatal Nurse PractitionerPediatric Acute Care Nurse PractitionerPediatric Primary Care Nurse PractitionerPsychiatric Mental Health Nurse PractitionerWomen’s Health Nurse Practitioner	Y
East Carolina University Greenville, NC	Master’s, Bachelor’s to DNP, Master’s to DNP	Adult-Gerontology Acute Care Nurse PractitionerAdult-Gerontology Primary Care Nurse PractitionerNeonatal Nurse PractitionerNurse MidwifePsychiatric-Mental Health Nurse Practitioner	Y
Lenoir-Rhyne University Hickory, NC	RN to Master’s, Master’s, Bachelor’s to DNP, Master’s to DNP	Psychiatric Mental Health Nurse Practitioner	Y
North Carolina A&T State University Greensboro, NC	Bachelor’s to DNP, Master’s to DNP	Psychiatric Mental Health Nurse Practitioner
University of North Carolina-Chapel Hill Chapel Hill, NC	Master’s, Bachelor’s to DNP, Master’s to DNP	Adult-Gerontology Primary Care Nurse PractitionerFamily Nurse PractitionerPediatric Primary Care Nurse PractitionerPsychiatric-Mental Health Nurse Practitioner
University of North Carolina-Charlotte Charlotte, NC	Master’s, Bachelor’s to DNP, Master’s to DNP	Adult-Gerontology Acute Care Nurse PractitionerFamily Nurse Practitioner Across the Lifespan	Y
University of North Carolina-Greensboro Greensboro, NC	Entry-Level Master’s, Master’s, Bachelor’s to DNP, Master’s to DNP	Adult-Gerontological Primary Care Nurse PractitionerFamily Nurse PractitionerPsychiatric Mental Health Nurse Practitioner	Y
University of North Carolina-Pembroke Pembroke, NC	RN to Master’s, Master’s, Master’s to DNP	Family Nurse Practitioner
University of North Carolina-Wilmington Wilmington, NC	Master’s, Bachelor’s to DNP, Master’s to DNP	Adult-Gerontology Primary Care Nurse PractitionerFamily Nurse PractitionerPsychiatric Mental Health Nurse Practitioner
Western Carolina University Cullowhee, NC	Master’s, Bachelor’s to DNP, Master’s to DNP	Family Nurse PractitionerPsychiatric Mental Health Nurse Practitioner
Winston-Salem State University Winston-Salem, NC	Master’s, Bachelor’s to DNP, Master’s to DNP	Family Nurse Practitioner	Y