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Melane Melane (New Member) New Member

FNP Job Outlook

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Hello Everyone,

I graduated with FNP in December, 2017. I had personal issues to deal with before i could take my boards. I finally took boards in June, 2018 and passed on the first attempt. I got my license and prescriptive authority in August. So far, i have not been able to find a job in the DFW area. Some offers required me to travel from state to state but i have a toddler. Another specialty offer (GI), in a somewhat rural location required 50 hours/week and some weekends for 85,000/year (although a bit higher could be considered). I feel that the amount of work is really not fair for that kind of salary. I am therefore open to relocate. I am currently looking at North Carolina, Washington state or any other state you think has good opportunities. Preferable a place that offers loan repayment program.

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I don't know if it applies to NPs, but Duke in NC has a loan repayment program for nurses. However, NP new grad jobs are probably pretty competitive in the Triangle since there are so many advanced practive nursing programs nearby (Duke, UNC, etc.)

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I don't know if it applies to NPs, but Duke in NC has a loan repayment program for nurses. However, NP new grad jobs are probably pretty competitive in the Triangle since there are so many advanced practive nursing programs nearby (Duke, UNC, etc.)

Thanks Adventure_RN. I will follow up on this tomorrow.

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The West Coast generally offers higher compensation and most Western states have full practice authority for NPs. Most areas outside of the big coastal cities have a PCP shortage and also are very affordable. You should look in Washington, Oregon, California, Nevada, Arizona, New Mexico, Montana, Wyoming, Alaska. While people think of California as expensive, that is only the coastal cities. California has many rural areas and secondary cities desperate for FNPs - Bakersfield, Fresno, Sacramento, Chico, Redding, etc. Those areas will pay well and are very affordable.

As for loan repayment, that is based on the HPSA score. Apply to jobs in locations with a HPSA score of 14 or higher, the higher the better. There are both federal and state loan repayment programs.

Good luck

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I've worked TN, NC and WA state, I would NOT recommend NC, it is not very NP friendly, the MD's have a lock on that state, you may NOT even have a NC NP license without first getting a MD supervisor that will be your boss, so, yes you have to have a job lined up before you are allowed to have a license, and once the job ends, so does your license. And you have to pay NC income tax.

WA state has no income tax, I believe more jobs, and is NP friendly, for the most part.

Good luck either way.

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