[hen-ui-dynamic-experience placement=”aboveTheFold” /] [hen-ui-heading variant=”h2″]FNP and AGNP Key Similarities and Differences[/hen-ui-heading][hen-ui-text variant=”b4″]Family nurse practitioners (FNP) and adult-geriatric nurse practitioners (AGNP) share many similarities but have key differences. Your chosen specialty depends on your practice preferences and career goals. Learn about the FNP vs. AGNP duties, required education, job outlook, and other important factors to discover the best path for you.[/hen-ui-text][hen-ui-text variant=”b4″]FNPs and AGNPs are types of advanced practice registered nurses (APRNs) who have earned their master’s or doctoral degrees in nursing. They assess, diagnose, and treat patients. They are both found in primary care settings and collaborate with other healthcare professionals to meet patient needs. Both treat adults and pediatric patients.[/hen-ui-text][hen-ui-text variant=”b4″]Unlike AGNPs, FNPs treat patients across the lifespan from infancy to end of life and only work in primary care, especially in private practices. Their roles emphasize ensuring wellness over treating acute ailments.[/hen-ui-text][hen-ui-text variant=”b4″]Unlike FNPs, AGNPs do not treat infants and small children, specializing in working with adolescents and above. They can be found in primary care settings, but they also work in acute care. Many AGNPs work in emergency departments and intensive care units.[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”]
[hen-ui-heading variant=”h3″]What is an FNP?[/hen-ui-heading] [hen-ui-text variant=”b4″]An FNP is an APRN who works with patients across the lifespan from infancy to end of life. They practice in primary care settings, such as clinics and private offices. FNPs do not work in acute care. They conduct health assessments, diagnose illnesses, treat minor injuries, and verify wellness.[/hen-ui-text]
[hen-ui-heading variant=”h3″]What is an AGNP?[/hen-ui-heading] [hen-ui-text variant=”b4″]AGNPs are APRNs who specialize in treating adolescents through older adults. They work in primary and acute care. AGNPs conduct health assessments, diagnose illnesses, and verify wellness. Unlike FNPs, AGNPs specializing in acute care treat more serious illnesses and injuries. They can be found in urgent care centers, private practices, clinics, and hospitals.[/hen-ui-text]
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[hen-ui-table][hen-ui-table-caption]FNP vs. AGNP Comparison[/hen-ui-table-caption][hen-ui-table-header][hen-ui-table-row][hen-ui-table-head scope=”col”]Comparison Point[/hen-ui-table-head][hen-ui-table-head scope=”col”]FNP[/hen-ui-table-head][hen-ui-table-head scope=”col”]AGNP[/hen-ui-table-head][/hen-ui-table-row][/hen-ui-table-header][hen-ui-table-body][hen-ui-table-row][hen-ui-table-head scope=”col”]Degree Required[/hen-ui-table-head][hen-ui-table-cell data-title=”Comparison Point”]Master of science in nursing (MSN) or doctor of nursing practice (DNP)[/hen-ui-table-cell][hen-ui-table-cell data-title=”FNP”]MSN or DNP[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Certification Options[/hen-ui-table-head][hen-ui-table-cell data-title=”Comparison Point”]American Academy of Nurse Practitioners Certification Board and the American Nurses Credentialing Center, American Nurses Association[/hen-ui-table-cell][hen-ui-table-cell data-title=”FNP”]American Academy of Nurse Practitioners Certification Board and the American Nurses Credentialing Center, American Nurses Association[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Population Focus [/hen-ui-table-head][hen-ui-table-cell data-title=”Comparison Point”]All ages[/hen-ui-table-cell][hen-ui-table-cell data-title=”FNP”]Adolescents and older[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Duties and Responsibilities[/hen-ui-table-head][hen-ui-table-cell data-title=”Comparison Point”][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Treat minor injuries[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Diagnose ailments[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Prescribe medications[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Conduct assessments[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Make specialist referrals[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Complete wellness checks[/hen-ui-text][/hen-ui-list-item][/hen-ui-list][/hen-ui-table-cell][hen-ui-table-cell data-title=”FNP”][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Treat major and minor injuries[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Diagnose ailments[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Prescribe medications[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Conduct assessments[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Make specialist referrals[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Complete wellness checks[/hen-ui-text][/hen-ui-list-item][/hen-ui-list][/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Median Annual Salary[/hen-ui-table-head][hen-ui-table-cell data-title=”Comparison Point”]$108,133, [hen-ui-link href=”https://www.payscale.com/research/US/Job=Family_Nurse_Practitioner_(NP)/Salary” target=”_blank”]Payscale September 2025[/hen-ui-link][/hen-ui-table-cell][hen-ui-table-cell data-title=”FNP”][hen-ui-link href=”https://www.payscale.com/research/US/Job=Adult-Gerontology_Nurse_Practitioner_(AGNP)/Salary” target=”_blank”]$107,694[/hen-ui-link] for primary care NPs and [hen-ui-link href=”https://www.payscale.com/research/US/Job=Adult_Gerontology_Acute_Care_Nurse_Practitioner/Salary” target=”_blank”]$96,063[/hen-ui-link] for acute care NPs. (Payscale September 2025)[/hen-ui-table-cell][/hen-ui-table-row][/hen-ui-table-body][/hen-ui-table]
[hen-ui-flex gap=”xl” align=”left” direction=”column”][hen-ui-flex gap=”xs” align=”left” direction=”column”][hen-ui-heading variant=”h2″]Popular Online Programs[/hen-ui-heading][hen-ui-text variant=”b4″ color=”subtext”]Learn about start dates, transferring credits, availability of financial aid, and more by contacting the universities below.[/hen-ui-text][/hen-ui-flex][hen-ui-dynamic-experience placement=”belowTheFold” /][/hen-ui-flex][hen-ui-heading variant=”h2″]Duties and Responsibilities[/hen-ui-heading][hen-ui-text variant=”b4″]Both FNPs and AGNPs assess patients, order tests, diagnose conditions, and prescribe treatment. They also maintain medical records, provide patient education, and may supervise other nursing staff.[/hen-ui-text][hen-ui-text variant=”b4″]A large difference between an FNP and an AGNP is that an FNP can treat patients from birth on, but an AGNP treats adults and adolescents.[/hen-ui-text][hen-ui-text variant=”b4″]Depending on state regulations, [hen-ui-link href=”https://nursejournal.org/nurse-practitioner/np-practice-authority-by-state/”]FNPs and AGNPs may practice independently[/hen-ui-link] or need to enter a collaborative agreement with a supervising physician.[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”]
[hen-ui-heading variant=”h3″]What Does a Family Nurse Practitioner Do?[/hen-ui-heading] [hen-ui-text variant=”b4″][hen-ui-link href=”https://nursejournal.org/nurse-practitioner/fnp/”]FNPs[/hen-ui-link] act as primary care providers in hospitals and health systems, independent practices, clinics, or other healthcare settings. They provide primary care for patients of all ages, but they may refer patients with complex needs to specialty providers.[/hen-ui-text] [hen-ui-text variant=”b4″]FNPs perform many of the same tasks that primary care physicians do, including:[/hen-ui-text] [hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Examining patients of all ages, including pediatric patients[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Ordering medical tests[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Diagnosing conditions[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Prescribing treatments[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″][hen-ui-link href=”https://nursejournal.org/articles/nurse-practitioner-prescriptive-authority-by-state/”]Prescribing medications[/hen-ui-link][/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Updating medical records[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Educating patients and family members[/hen-ui-text][/hen-ui-list-item][/hen-ui-list]
[hen-ui-heading variant=”h3″]What Does an Adult-Gerontology Nurse Practitioner Do?[/hen-ui-heading] [hen-ui-text variant=”b4″]AGNPs treat adult and adolescent patients. They may specialize in primary care, which focuses on a patient’s ongoing health needs and wellness, or in acute care, which treats episodic conditions or injuries.[/hen-ui-text] [hen-ui-text variant=”b4″]Acute care NPs are more likely to work in intensive care units and inpatient hospitals, while primary care NPs are more likely to work in outpatient care, urgent care, physicians’ offices, or private practice. In any setting, their responsibilities are very similar to FNP responsibilities. These include:[/hen-ui-text] [hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Seeing adolescent and adult patients[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Ordering medical tests[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Diagnosing conditions[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Prescribing treatments[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Prescribing medications[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Updating medical records[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Educating patients and family members[/hen-ui-text][/hen-ui-list-item][/hen-ui-list]
[/hen-ui-grid][hen-ui-heading variant=”h2″]Education and Certification[/hen-ui-heading][hen-ui-text variant=”b4″]Both FNPs and AGNPs are [hen-ui-link href=”https://nursejournal.org/careers/advanced-practice-nursing/”]APRNs[/hen-ui-link]. Becoming an APRN requires earning at least an [hen-ui-link href=”https://nursejournal.org/degrees/msn/”]MSN[/hen-ui-link], passing the applicable board certification examination, completing a criminal background check with fingerprinting, and getting licensed in your state.[/hen-ui-text][hen-ui-text variant=”b4″]The most common career path is to earn a [hen-ui-link href=”https://nursejournal.org/degrees/bsn/”]bachelor’s degree in nursing[/hen-ui-link] and then an MSN. Many schools offer [hen-ui-link href=”https://nursejournal.org/degrees/rn-msn/”]RN-to-MSN bridge programs[/hen-ui-link] for nurses with an [hen-ui-link href=”https://nursejournal.org/degrees/adn/”]associate degree in nursing[/hen-ui-link].[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”]
[hen-ui-heading variant=”h3″]How to Become a Family Nurse Practitioner[/hen-ui-heading] [hen-ui-text variant=”b4″][hen-ui-link href=”https://nursejournal.org/nurse-practitioner/best-online-nurse-practitioner-programs/”]Family nurse practitioner programs[/hen-ui-link] typically take two years for a full-time student with a [hen-ui-link href=”https://nursejournal.org/degrees/bsn/”]bachelor of science in nursing[/hen-ui-link] (BSN). The curriculum covers assessment, diagnosis, and treatment for patients of all ages. Learners also participate in clinical hours with patients across the lifespan.[/hen-ui-text] [hen-ui-text variant=”b4″]Programs typically require a rotation in maternity or women’s health. This may include a split course with half the semester dedicated to OB/GYN care and the other half to pediatrics.[/hen-ui-text] [hen-ui-text variant=”b4″]Education and degree requirements include:[/hen-ui-text] [hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]A current and unencumbered RN license[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]A BSN or associate degree in nursing (ADN), typically with at least a 3.0 GPA[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]A clear criminal background check[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]1-2 years of work as an RN for most programs[/hen-ui-text][/hen-ui-list-item][/hen-ui-list] [hen-ui-text variant=”b4″]The American Academy of Nurse Practitioners Certification Board and the American Nurses Credentialing Center offer FNP certification. Both require an MSN or higher degree from an accredited program, 500 clinical hours, and a current and unrestricted RN license. Your state may have additional licensing requirements beyond board certification.[/hen-ui-text]
[hen-ui-heading variant=”h3″]How to Become an Adult-Gerontology Nurse Practitioner[/hen-ui-heading] [hen-ui-text variant=”b4″]AGNP programs generally take two years to complete. Nurses with an ADN can enter an [hen-ui-link href=”https://nursejournal.org/degrees/msn/best-adn-to-msn-bridge-programs/”]RN-to-NP bridge program[/hen-ui-link], which offers a narrower curriculum than that of the FNP. The AGNP program curriculum does not include infancy or childhood conditions, diagnoses, or treatments, and clinical hours do not include work with child patients.[/hen-ui-text] [hen-ui-text variant=”b4″]Like FNP programs, you must have a current and unencumbered RN license, a BSN or an ADN, usually at least a 3.0 GPA, and a clear criminal background check. Most schools prefer at least 1-2 years of experience as an RN with adult patients.[/hen-ui-text] [hen-ui-text variant=”b4″]The American Academy of Nurse Practitioners Certification Board and the American Nurses Credentialing Center offer AGNP certification. [hen-ui-link href=”https://nursejournal.org/nurse-practitioner/how-to-become-a-np/”]NPs can become[/hen-ui-link] certified in adult gerontology primary care or adult-gerontology acute care.[/hen-ui-text] [hen-ui-text variant=”b4″]To take either exam, you must have at least an MSN from an accredited program, 500 clinical hours, and a current, unrestricted RN license. Check your state board of nursing for other licensing requirements.[/hen-ui-text]
[/hen-ui-grid][hen-ui-heading variant=”h2″]Salary and Career Outlook[/hen-ui-heading][hen-ui-text variant=”b4″]Like the specialties, FNP and AGNP salary ranges are similar, but key differences exist based on your career choice. Primary care AGNPs earn more than FNPs, while acute care AGNP earnings are higher than those of both groups. Learn more details from the following breakdown of FNP and AGNP salaries.[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”]
[hen-ui-heading variant=”h3″]FNP Salary and Career Outlook[/hen-ui-heading] [hen-ui-text variant=”b4″][hen-ui-text tag=”strong” weight=”bold”]Median Annual Family Nurse Practitioner Salary:[/hen-ui-text] [hen-ui-link href=”https://www.payscale.com/research/US/Job=Family_Nurse_Practitioner_(NP)/Salary” target=”_blank”]$108,133[/hen-ui-link] (Payscale September 2025)[/hen-ui-text] [hen-ui-text variant=”b4″]According to Payscale, the average annual FNP salary is $108,133, while the average hourly salary is about $56.16. FNP salaries range from $89,000 to $133,000. [hen-ui-link href=”https://nursejournal.org/nurse-practitioner/fnp/”]Salaries may vary[/hen-ui-link] based on experience, career advancement, location, and facility.[/hen-ui-text] [hen-ui-text variant=”b4″]According to the Bureau of Labor Statistics, employment of NPs is projected to grow by 40% from 2024-2034, much faster than all other occupations. Factors influencing this large [hen-ui-link href=”https://nursejournal.org/articles/nurse-practitioners-fastest-growing-profession-nursing-second-year/”]growth in demand[/hen-ui-link] include the physician shortage and an increase in patients choosing NPs as their primary healthcare providers.[/hen-ui-text]
[hen-ui-heading variant=”h3″]AGNP Salary and Career Outlook[/hen-ui-heading] [hen-ui-text variant=”b4″][hen-ui-text tag=”strong” weight=”bold”]Median Annual Adult-Gerontology Primary Care Nurse Practitioner Salary:[/hen-ui-text] [hen-ui-link href=”https://www.payscale.com/research/US/Job=Adult-Gerontology_Nurse_Practitioner_(AGNP)/Salary” target=”_blank”]$107,694[/hen-ui-link] (Payscale September 2025)[/hen-ui-text] [hen-ui-text variant=”b4″][hen-ui-text tag=”strong” weight=”bold”]Median Annual Adult-Gerontology Acute Care Nurse Practitioner Salary:[/hen-ui-text] [hen-ui-link href=”https://www.payscale.com/research/US/Job=Adult_Gerontology_Acute_Care_Nurse_Practitioner/Salary” target=”_blank”]$96,063[/hen-ui-link] (Payscale September 2025)[/hen-ui-text] [hen-ui-text variant=”b4″]According to [hen-ui-link href=”https://www.payscale.com/research/US/Job=Adult-Gerontology_Nurse_Practitioner_(AGNP)/Salary” target=”_blank”]Payscale[/hen-ui-link], the average annual AGNP salary is $107,694, while the average hourly salary is about $52. AGNP salaries range from $88,000 to $130,000. Your [hen-ui-link href=”https://nursejournal.org/careers/adult-nursing/”]salary may vary[/hen-ui-link] based on experience, subspecialty choice, location, and facility.[/hen-ui-text] [hen-ui-text variant=”b4″]Like FNPs, AGNP employment is projected to grow significantly over the next decade for the same reasons. Another factor influencing growth is that hiring AGNPs is more cost-effective than hiring physicians.[/hen-ui-text]
[/hen-ui-grid][hen-ui-heading variant=”h2″]FNP vs. AGNP: Which Career Is Right for Me?[/hen-ui-heading][hen-ui-text variant=”b4″]The family nurse practitioner vs. adult-gerontology nurse practitioner career decision depends on your career goals and preferences. \Both careers offer similar work settings and responsibilities and also require the same level of education and certification.[/hen-ui-text][hen-ui-text variant=”b4″]If you think you might later want to specialize further, specialize in pediatric care, or simply want to work with children as part of your practice, an FNP certification will let you work with any age.[/hen-ui-text][hen-ui-text variant=”b4″]However, if you think you might want to specialize in gerontology, acute care, behavioral health, hospice or palliative care, in that case, an AGNP specialty will give you more experience in those areas.[/hen-ui-text][hen-ui-text variant=”b4″]When making your FNP vs. AGNP decision, talking to mentors, networking at professional events, and discussing your options with school admission staff can be very helpful. Whichever you choose, you are launching a personally and financially rewarding career with high levels of professional autonomy and the chance to make a difference.[/hen-ui-text][hen-ui-section-header title=”Related Pages” /][hen-ui-article-row variant=”3-col” ids=”34162,58595,66078″][/hen-ui-article-row]