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We do not, nor do the other hospitals in our area that I know of. I'm sure that they could be equally effective in their jobs with experience, but I think such a specialized area lends itself to NNPs because NNPs are required to have bedside experience before going to school and their education focuses just on this specialty. PAs might have minimal experience or education specific to neonatal. It would probably take more time/money to train a PA. That said, if you take a fresh NNP and a fresh PA right now, there are probably big differences, but five years down the road I'm sure they would be equally good at what they do.