My wife is currently an NP in Northern NJ and has become one because she's passionate about what she does and passionate about continuing education. She is interested in going back to Columbia for her doctorate in nursing practice once New York State approves the program. It was supposed to be up and running in 2003 but has yet to... From an outsider's perspective, if you're so inclined, I think the more credentials the better. You'll be a better provider as you'll be more knowledgeable and will make more money whatever your role. I found this website because I am helping her begin to research having her own practice in a couple of years. She rocks. :) James