I'm sure there are programs that may not need experience. There are graduate entry NP programs out there (I graduated from one) and although it was rigorous (and for good reason), you get to the same end goal. Choose a program wisely and do not choose one that rely too much on RN experience to magically translate to advance practice... They need to train and prepare you to think like a provider, not a nurse. No, you do not need RN experience to be a great provider: There are amazing MDs, DOs, PAs, grad entry NPs who become amazing practitioners in their field and not a lick of RN experience. Some may have a greater edge from some sort of health care experience (EMT, scribe, RN, MA, etc), but everyone graduates and are expected to perform their jobs to the same expectation. I've precepted NP students and PA students and it's all about the individual and how well they program prepared them. Some NP students have had YEARS of experience and struggle translating what they've learned in class/lab to practice.. While some PA students who may have worked as a scribe knows exactly how a provider things and aces the medical management piece (Some of the best students and strongest practitioners). Just find a great program with amazing clinical experience. If not NP, what about PA? Or MD? or DO programs? like all advance practice programs, get ready to work really hard. Good luck!