I am a FNP with my MSN. I did 2 years in a primary care clinic (family medicine) and now work as a hospitalist (which I absolutely love). Someone I have come to realize is figure out if you are a procedure junky I.e. suturing, cutting etc. If so, then check out procedure focused specialties like dermatology. If you are not a procedure junky (I am not) then focus on something like psych. A good friend of mine who worked as an FNP with me at the primary care clinic was amazing at procedures. She was interested in derm but then got a job with neurosurgery and now makes 150k+/year and loves it. Another FNP I know loves psych and went that route and got a job as a psych NP with the county and makes 140k+ (psych NPs are the most in demand midlevel in the US). Psych NPs do no procedures and nor do I as a hospitalist. In Closing: Decide whether or not you like procedures and this will help you refine your specialty.