Best Pediatric Nurse Practitioner Programs in Texas
- 2026 Best Pediatric Nurse Practitioner Programs in Texas
- Why Become a Pediatric Nurse Practitioner in Texas?
- Primary Care vs. Acute Care PNP Tracks
- Program Pathways in Texas
- Online, Hybrid, and Campus Options
- Clinical Training Opportunities in Texas
- What You'll Study in a Texas PNP Program
- Tuition and Cost Considerations
- Salary Outlook For Pediatric Nurse Practitioners in Texas
- Licensing and Certification in Texas
- How to Choose the Right Texas PNP Program
- Career Settings After Graduation
- Frequently Asked Questions
- Latest Articles & Guides

Texas is one of the largest healthcare markets in the country, making it a prime location to earn a Pediatric Nurse Practitioner (PNP) degree. With major pediatric hospital systems, rural health initiatives, and a rapidly growing child population, the state offers robust training opportunities for both Primary Care PNP (PNP-PC) and Acute Care PNP (PNP-AC) students.
Whether you're pursuing an MSN, DNP, or post-master's certificate, Texas offers flexible pathways—online, hybrid, and campus-based—to meet the needs of working nurses.
This article will cover:
- The differences between acute and primary care PNP tracks
- What to expect from Texas-based MSN, DNP, and certificate programs
- Typical tuition costs and salary ranges in Texas
- Examples of clinical training sites across the state
- How to choose the right PNP program for your career goals
2026 Best Pediatric Nurse Practitioner Programs in Texas
Baylor University
Waco, TX - Private 4-year - baylor.edu
MSN to DNP - DNP - Pediatric Nurse Practitioner (Primary Care, Acute Care)
Online Learning - Visit Website
Baylor University's Online DNP - Pediatric Nurse Practitioner program provides advanced nursing professionals a comprehensive pathway to specialize in pediatric healthcare. This rigorous doctoral-level program offers two distinct tracks—Primary Care and Acute Care—preparing nurses to deliver high-quality, patient-centered care for children from birth to adolescence. Students can complete the program in approximately three to four years, with 75 total credits for the Primary Care track. The curriculum emphasizes clinical expertise, health promotion, and complex pediatric health management, leveraging 100% online coursework with strategic on-campus immersions. With a practicum requirement of 1,125 clinical hours and support from nationally recognized faculty, graduates are equipped to meet the growing demand for specialized pediatric nurse practitioners.
- 100% Online Coursework
- 1,125 Clinical Practicum Hours
- Two Specialized Tracks Available
- No GRE Required
- 3.0 Minimum GPA
- BSN to DNP Pathway
- CCNE Accredited Program
- Clinical Placement Support
- Nationally Recognized Faculty
MSN to DNP - DNP - Pediatric Nurse Practitioner (Primary Care)
Online Learning - Visit Website
Baylor University's Doctor of Nursing Practice (DNP) Pediatric Nurse Practitioner track offers an advanced online program designed for registered nurses seeking to specialize in pediatric healthcare. This comprehensive program prepares nurses to provide high-quality, patient-centered care for children and adolescents in primary and acute care settings. Students can choose between Primary Care and Primary/Acute Care tracks, gaining extensive clinical experience through 1,125 practicum hours. With no GRE required and a competitive 3.0 GPA threshold, the program offers a flexible pathway for working nurses, taking approximately three to four years to complete. Graduates emerge as expert pediatric healthcare providers with advanced clinical skills and leadership capabilities.
- 100% Online Coursework
- 1,125 Clinical Practicum Hours
- BSN to DNP Pathway
- No GRE Required
- CCNE Accredited Program
- Clinical Placement Support
- Two Track Options Available
- Primary and Acute Care Focus
MSN to DNP - DNP - Pediatric Nurse Practitioner (Acute Care)
Online Learning - Visit Website
Baylor University's Doctor of Nursing Practice (DNP) in Pediatric Nurse Practitioner with an Acute Care concentration offers advanced healthcare professionals a cutting-edge pathway to specialize in pediatric acute care. Designed for experienced registered nurses, this fully online program prepares students to deliver complex, high-quality care to critically ill children in demanding healthcare settings like intensive care and emergency departments. With a comprehensive curriculum spanning 75 credits and completed in approximately four years, students develop advanced clinical judgment, decision-making skills, and specialized procedural expertise. The program requires 1,125 primary care hours plus an additional 600 acute care hours, ensuring graduates are thoroughly prepared for advanced practice roles. Ranked among top nursing schools by U.S. News & World Report, Baylor provides robust clinical placement support and expert faculty guidance, making it an exceptional choice for nurses seeking to elevate their pediatric healthcare career.
- 100% Online Coursework
- 75 Total Credits
- 1,125 Clinical Hours
- No GRE Required
- BSN to DNP Pathway
- 3.0 GPA Minimum
- One Year Pediatric Experience Required
- CCNE Accredited
- Clinical Placement Support
The University of Texas at Austin
Austin, TX - Public 4-Year - utexas.edu
Graduate Certificate - Advanced Practice Nursing - Acute Care Pediatric Nurse Practitioner (Acute Care Pediatric Nurse Practitioner)
Campus Based - Visit Website
The University of Texas at Austin's Acute Care Pediatric Nurse Practitioner program prepares nurses to care for pediatric patients from birth to age 21 with acute, complex, chronic, and critical conditions. This campus-based DNP program features hands-on skills labs, simulation experiences, and expert-led lectures. Clinical rotations provide real-world acute care experience. Applicants need a Bachelor of Science in Nursing degree and two years of full-time RN experience before enrollment. The program meets national curriculum guidelines and prepares graduates for certification exams.
- Focuses on pediatric acute care.
- Covers birth to age 21 patients.
- Includes skills labs and simulations.
- Expert-led lecture components.
- Clinical rotation requirements.
- Prepares for quality improvement projects.
- Doctorally prepared faculty guidance.
- Leads to PNCB certification eligibility.
- Meets national curriculum guidelines.
- Aligns with Texas Board requirements.
The University of Texas Health Science Center at San Antonio
San Antonio, TX - Public 4-Year - uthscsa.edu
Graduate Certificate - Post-Graduate Certificate (Pediatric Nurse Practitioner Primary Care)
Campus Based - Visit Website
The University of Texas Health Science Center at San Antonio offers a Post-Graduate Certificate in Pediatric Nurse Practitioner Primary Care for MSN-prepared nurses. This campus-based program provides specialized training in pediatric primary care, allowing experienced nurses to expand their clinical expertise. The program requires varying semester credit hours depending on the track. Admissions occur every spring with an August 1 deadline. Applicants must submit materials through NursingCAS and follow specific School of Nursing application procedures. This certificate prepares nurses for advanced practice roles in pediatric healthcare settings.
- Post-Graduate Certificate program.
- Pediatric Nurse Practitioner Primary Care concentration.
- For MSN-prepared nurses.
- Campus-based learning format.
- Multiple specialization areas available.
- Varies by track credit hours.
- Spring admissions only.
- August 1 application deadline.
- NursingCAS application required.
- Follow School of Nursing instructions.
MSN to DNP - Doctor of Nursing Practice (Pediatric Nurse Practitioner Primary Care)
Online & Campus Based - Visit Website
The Doctor of Nursing Practice (DNP) at UT Health San Antonio is a comprehensive doctoral program designed for Bachelor of Science in Nursing graduates seeking advanced clinical expertise. With a specialized Pediatric Nurse Practitioner Primary Care concentration, students develop high-level pediatric healthcare skills. The rigorous program prepares nurses for complex clinical leadership roles, emphasizing evidence-based practice and advanced patient care. Admission requires a 3.0 GPA, RN licensure, and minimum clinical experience, offering a pathway to top-tier pediatric nursing positions.
- Doctoral degree for BSN graduates
- Pediatric Nurse Practitioner track
- 3.0 minimum GPA required
- 1-year clinical experience needed
- CCNE accredited program
- Multiple specialization options
- Hybrid program format
- Professional references required
- NursingCAS application process
The University of Texas at El Paso
El Paso, TX - Public 4-Year - utep.edu
BSN to MSN - Pediatric Primary Care Nurse Practitioner (Primary Care)
Online & Campus Based - Visit Website
The University of Texas at El Paso's Pediatric Primary Care Nurse Practitioner program prepares advanced nursing professionals to provide comprehensive healthcare for children and adolescents. This hybrid program offers flexibility for working professionals, with 49 online credit hours spread across seven semesters. Students gain advanced skills in health promotion, developmental assessments, and managing pediatric health conditions. Graduates become eligible for certification through the Pediatric Nursing Certification Board, positioning them for rewarding careers in primary pediatric care settings.
- 49 credit hours online
- 675 clinical clock hours
- Innovative simulation lab
- Two admission cycles yearly
- Flexible for working professionals
- Curriculum meets national standards
- Pediatric nursing certification eligible
BSN to MSN - Pediatric Acute Care Nurse Practitioner (Acute Care)
Online & Campus Based - Visit Website
The University of Texas at El Paso offers a Pediatric Acute Care Nurse Practitioner MSN concentration. This hybrid program prepares nurses to care for infants, children, adolescents, and young adults with complex acute, chronic, and critical conditions. The 49-credit hour program spans two calendar years with 765 clinical hours. It features flexible seven-week didactic courses for working professionals. Graduates qualify for PACNP certification through the Pediatric Nursing Certification Board. Tuition is $552 per credit hour for Texas residents and $782 for non-residents. The program follows AACN and NONPF standards and requires travel up to 200 miles for clinical placements.
- Pediatric Acute Care concentration
- Hybrid program format
- 49 credit hours
- Two-year completion time
- 765 clinical clock hours
- Flexible seven-week courses
- For working professionals
- Two admission cycles yearly
- Fall and Spring starts
- Simulation lab experiences
Graduate Certificate - Post-Master’s Nurse Practitioner Certificate (Pediatric Primary Care Nurse Practitioner)
Online & Campus Based - Visit Website
The University of Texas at El Paso offers a Post-Master's Nurse Practitioner Certificate with a Pediatric Primary Care Nurse Practitioner concentration. This hybrid program requires 28-40 credits and 630-775 clinical hours. Applicants need a Master's in Nursing, current RN or NP license, resume, and a professional statement. The program prepares nurses for advanced pediatric care roles, focusing on primary care competencies. Admissions require submission through the Graduate School, with specific criteria for applicants with or without APRN recognition.
- Post-Master's Nurse Practitioner Certificate.
- Pediatric Primary Care Nurse Practitioner concentration.
- Hybrid program format.
- 28-40 total credit hours.
- 630-775 clinical practicum hours.
- Requires Master's in Nursing degree.
- Current RN or NP license needed.
- Submit resume or curriculum vitae.
- 500-word professional statement required.
- Online application to Graduate School.
Graduate Certificate - Post-Master’s Nurse Practitioner Certificate (Pediatric Acute Care Nurse Practitioner)
Online & Campus Based - Visit Website
Advance your nursing career with a Pediatric Acute Care Nurse Practitioner Post-Master's Certificate. This program, designed for nurses with an existing master's degree, enhances your skills in acute pediatric care. The curriculum includes specialized coursework and clinical practice, ranging from 28-40 credit hours and 630-775 clinical hours, respectively, depending on experience. Applicants holding APRN recognition must submit proof of licensure and transcripts. Applicants without APRN recognition need an active RN license and transcripts. A statement of professional purpose is required for all applicants.
- Post-Master's Certificate
- Pediatric Acute Care
- For existing MSN holders
- 28-40 credit hours
- 630-775 clinical hours
- APRN applicants need licensure proof
- Non-APRN applicants need RN license
- Statement of Purpose required
The University of Texas at Arlington
Arlington, TX - Public 4-Year - uta.edu
RN to MSN - Registered Nurse to Master of Science in Nursing – Pediatric Primary Care Nurse Practitioner
Online Learning - Visit Website
The University of Texas at Arlington's RN to MSN Pediatric Primary Care Nurse Practitioner program offers a transformative pathway for registered nurses seeking advanced pediatric care expertise. This accelerated online program enables students to earn both BSN and MSN degrees efficiently, preparing them to provide comprehensive healthcare for children and adolescents. With a total tuition of $35,038, the program spans approximately 42 months and requires 76 credit hours. Students gain advanced skills in pediatric care management, diagnostics, and pharmacology, positioning themselves for rewarding careers in primary care settings like pediatric clinics, school-based clinics, and palliative care environments.
- CCNE-accredited nursing program
- Online accelerated format
- 42-month program duration
- Total tuition $35,038
- 76 total credit hours
- Pediatric primary care focus
- Prepares for national certification
- Multiple clinical practice settings
- Advanced pathophysiology training
- Evidence-based practice curriculum
Graduate Certificate - Pediatric Primary Care Nurse Practitioner Certificate (Pediatric Primary Care)
Online Learning - Visit Website
The University of Texas at Arlington offers an online Pediatric Primary Care Nurse Practitioner Certificate for MSN-prepared nurses. This post-master's program focuses on pediatric primary care, with a concentration in that area. It requires 18 credit hours and can be completed in as few as five courses. Tuition is $654 per credit hour. Admissions require an MSN from an accredited program, an active RN license, a 3.0 GPA, and an undergraduate statistics course. The program includes clinical placements and prepares graduates for certification and roles in pediatric clinics.
- Online program format.
- Post-master's certificate.
- Pediatric primary care concentration.
- 18 credit hours required.
- As few as five courses.
- $654 per credit hour.
- MSN from accredited program needed.
- Active RN license required.
- 3.0 GPA in MSN program.
- Undergraduate statistics course required.
Graduate Certificate - Pediatric Acute Care Nurse Practitioner Certificate (Pediatric Acute Care)
Online Learning - Visit Website
The University of Texas at Arlington's online Pediatric Acute Care Nurse Practitioner Certificate provides a specialized pathway for MSN-prepared nurses to advance their pediatric acute care expertise. Designed for experienced RNs, this accelerated program prepares healthcare professionals to manage complex pediatric health challenges across critical care settings. Students can complete the certificate in as few as five courses, focusing on advanced clinical skills, evidence-based interventions, and comprehensive patient care for children with acute and chronic conditions. Tuition is competitively priced at $654 per credit hour, with a flexible online format accommodating working professionals.
- 100% online certificate program
- As few as 5 courses
- MSN-prepared RNs eligible
- $654 per credit hour
- Two years clinical experience required
- CCNE accredited program
- Advanced pediatric acute care focus
- Clinical preceptorship included
- Specialized healthcare settings preparation
Texas Tech University Health Sciences Center-El Paso
El Paso, TX - Public 4-Year - elpaso.ttuhsc.edu
BSN to MSN - Pediatric Primary Care Nurse Practitioner
Online & Campus Based - Visit Website
The Master of Science in Nursing Pediatric Primary Care Nurse Practitioner track prepares advanced nursing professionals to provide comprehensive healthcare for children across diverse settings. Graduates gain expertise in well-child examinations, developmental screenings, childhood illness diagnosis, and health maintenance. The 49-semester credit hour online program offers flexibility, with occasional campus visits. Students with two years of pediatric nursing experience can develop advanced clinical skills and leadership capabilities. Tuition information is available through Student Business Services, and financial aid options include loans, grants, and scholarships. Successful completion enables certification through prestigious nursing boards.
- 49 semester credit hours
- Online with campus visits
- Two years pediatric RN experience required
- PALS certification needed
- Prepares for PNCB and ANCC exams
- 3.0 minimum undergraduate GPA
- CCNE accredited program
BSN to MSN - Acute Care Pediatric Nurse Practitioner
Online & Campus Based - Visit Website
Texas Tech University Health Sciences Center-El Paso offers an MSN in Pediatric Acute Care Nurse Practitioner. This hybrid program prepares nurses for advanced pediatric care. It requires 51 credit hours. Applicants need a BSN, RN license, and two years of pediatric experience. PALS certification is required. The program leads to eligibility for the Acute Care CPNP exam. Costs vary, with tuition details available online. Fall applications open November 1 and close February 15. Spring applications open May 1 and close August 1. Financial aid options include loans and scholarships.
- Hybrid program format.
- 51 semester credit hours.
- Requires BSN and RN license.
- Two years pediatric experience needed.
- PALS certification required.
- Eligible for CPNP exam.
- Tuition information online.
- Financial aid available.
- Fall and spring admissions.
- Minimum 3.0 GPA required.
Texas Woman's University
Denton, TX - Public 4-Year - twu.edu
BSN to MSN - Master of Science in Nursing (Pediatric Nurse Practitioner - Primary Care) (Primary Care)
Online & Campus Based - Visit Website
Texas Woman's University's Pediatric Nurse Practitioner Primary Care Master's program prepares advanced nursing professionals to deliver comprehensive healthcare for children and adolescents. This hybrid program focuses on developing expert skills in managing acute and chronic pediatric conditions through integrated physiological, behavioral, and family health theories. Prospective students must hold an unencumbered RN license, have a BSN, and possess a minimum 3.0 GPA. One year of pediatric clinical experience is preferred, with potential provisional admission for those without direct experience. The program currently limits enrollment to Texas residents, with remote learning and clinical placements exclusively within the state.
- Hybrid learning format
- Texas residents only
- Pediatric primary care focus
- Minimum 3.0 undergraduate GPA
- One year pediatric experience preferred
- Remote and clinical learning
- Advanced pediatric health management
Texas Tech University Health Sciences Center
Lubbock, TX - Public 4-Year - ttuhsc.edu
BSN to MSN - MSN Pediatric Primary Care Nurse Practitioner (Primary Care)
Online & Campus Based - Visit Website
The MSN Pediatric Primary Care Nurse Practitioner program prepares advanced nursing professionals to provide comprehensive healthcare for children across all ages. Graduates develop specialized skills in pediatric health management, including well-child examinations, developmental screenings, childhood illness diagnosis, and health maintenance. The 49-semester credit hour online program requires occasional campus visits and offers robust preparation for national certification exams. Students with two years of pediatric nursing experience can develop advanced clinical expertise and leadership capabilities in pediatric primary care settings.
- Online with campus visits
- 49 semester credit hours
- Two years pediatric RN experience required
- PALS certification needed
- National certification exam eligible
- Minimum 3.0 undergraduate GPA
- Valid unencumbered RN license
- CCNE accredited program
- Professional references required
- Computer literacy test mandatory
BSN to MSN - MSN Acute Care Pediatric Nurse Practitioner (Acute Care)
Online & Campus Based - Visit Website
Texas Tech University Health Sciences Center offers a Master of Science in Nursing with a Pediatric Acute Care Nurse Practitioner concentration. This hybrid program prepares nurses to care for children with acute and chronic conditions. It requires 51 credit hours and costs vary based on tuition rates. Applicants need a BSN, valid RN license, 3.0 GPA, and two years of pediatric experience. The program leads to eligibility for the Pediatric Nursing Credentialing Board Acute Care CPNP exam. Financial aid options are available for admitted students.
- 51 credit hour program
- Hybrid online/campus format
- Requires BSN and RN license
- 3.0 minimum GPA required
- Two years pediatric experience needed
- PALS certification required
- Eligible for CPNP exam
- Tuition information available online
- Financial aid options available
- Holistic admission review process
Houston Christian University
Houston, TX - Private 4-year - hc.edu
BSN to MSN - Pediatric Nurse Practitioner – Primary Care (Primary Care)
Online & Campus Based - Visit Website
Houston Christian University's MSN Pediatric Nurse Practitioner - Primary Care program prepares advanced nursing professionals to specialize in pediatric healthcare. The comprehensive 38-credit hybrid program equips students with advanced clinical skills, emphasizing pediatric health assessment, diagnostics, and patient care. Designed for experienced nurses seeking specialized pediatric expertise, the program requires a minimum 3.0 GPA and completion within five years. Students gain advanced knowledge in pathophysiology, pharmacology, and leadership, positioning graduates for impactful roles in pediatric primary care settings.
- 38-credit hybrid MSN program
- Pediatric primary care focus
- Minimum 3.0 GPA required
- Advanced clinical skills training
- Five-year degree completion
- No grade below B
- 6 transfer credits maximum
- Advanced pathophysiology courses
- Leadership and health policy
- Clinical practicum included
Why Become a Pediatric Nurse Practitioner in Texas?
Texas consistently ranks among the top states for healthcare employment growth. The state's diverse population (urban, suburban, and rural) creates a strong demand for pediatric providers.
Key Advantages of Studying in Texas:
- Large pediatric hospital systems and specialty centers
- Opportunities in underserved and rural communities
- Competitive nurse practitioner salaries
- No state income tax (important for long-term ROI)
- Strong healthcare hubs in Houston, Dallas–Fort Worth, Austin, and San Antonio
Major pediatric employers in Texas include:
- Texas Children’s Hospital (Houston)
- Children’s Health (Dallas)
- Dell Children’s Medical Center (Austin)
- Driscoll Children’s Hospital (Corpus Christi)
These systems often serve as clinical placement partners for Texas-based PNP programs.
Explore nurse practitioner schools in Texas.
Primary Care vs. Acute Care PNP Tracks
Before applying, it's essential to understand the difference between the two main pediatric tracks.
| Feature | PNP – Primary Care | PNP – Acute Care |
| Patient Focus | Well-child care, prevention, chronic management | Critically ill or medically complex children |
| Settings | Pediatric clinics, family practices, schools | Hospitals, ICUs, specialty units |
| Certification Exam | PNCB or ANCC (Primary Care) | PNCB (Acute Care) |
| Clinical Hours | 500–700+ | 600–800+ (often higher acuity focus) |
Some Texas universities offer both tracks, while others specialize in one. A few programs allow dual certification.
Program Pathways in Texas
Texas PNP programs are offered in three main formats:
1. MSN – Pediatric Nurse Practitioner
Ideal for: BSN-prepared RNs seeking advanced practice entry
Length: 2–3 years
Credits: 40–55 (varies by track)
MSN programs focus on clinical preparation and certification eligibility. Many Texas MSN-PNP programs offer:
- Hybrid formats with limited on-campus intensives
- Part-time study for working nurses
- Local clinical placement support
2. DNP – Pediatric Nurse Practitioner
Ideal for: Nurses seeking leadership, policy, or academic roles
Length: 3–4 years (BSN to DNP)
Credits: 65–90+
DNP programs include:
- Evidence-based practice projects
- Healthcare systems leadership training
- Expanded clinical hour requirements
- Population health and policy coursework
Texas DNP graduates may pursue roles in hospital leadership, academic teaching, or system-wide pediatric program development.
3. Post-Master's PNP Certificate
Ideal for: Already certified NPs adding pediatric specialization
Length: 1–2 years
Credits: 15–30
PNP Post-Master’s Certificate programs are especially common for:
- FNPs adding pediatric specialization
- Acute care NPs expanding into pediatrics
- NPs transitioning from adult specialties
Online, Hybrid, and Campus Options
Texas programs increasingly offer flexible delivery models.
| Format | Best For | Typical Structure |
| Fully Online | Working RNs statewide | Online coursework + local clinical placement |
| Hybrid | Nurses near campus | Online theory + on-campus intensives |
| Campus-Based | Full-time students | In-person lectures + simulation labs |
Many online programs require brief on-campus visits for skills intensives or orientation. Clinical hours are typically arranged near the student's home community.
Clinical Training Opportunities in Texas
One of Texas's greatest advantages is its extensive pediatric clinical infrastructure.
Examples of Clinical Settings:
- Major children's hospitals
- Pediatric primary care clinics
- Neonatal ICUs (for acute care students)
- Pediatric specialty practices (cardiology, oncology, endocrinology)
- School-based health clinics
- Rural health clinics in West and South Texas
Large metropolitan hubs such as Houston and Dallas provide exposure to high-acuity pediatric populations, while rural placements offer broad-scope experience.
Tip: If you live in a rural region, confirm whether the program assists with clinical placements outside major metro areas.
What You'll Study in a Texas PNP Program
Coursework varies slightly between tracks, but most include:
Core Courses
- Advanced pediatric pathophysiology
- Advanced pharmacology
- Advanced health assessment
- Pediatric diagnostic reasoning
- Evidence-based practice
Primary Care Track Additions
- Preventive pediatric health
- Chronic childhood conditions
- Behavioral and developmental pediatrics
Acute Care Track Additions
- Pediatric critical care
- Complex pediatric conditions
- Emergency stabilization
- Inpatient management
DNP students also complete a scholarly project focused on system-level pediatric healthcare improvement.
Tuition and Cost Considerations
Tuition varies widely depending on residency and program format.
| Degree Type | Estimated Tuition Range (Texas Residents) |
| MSN-PNP | $18,000 – $40,000 total |
| DNP-PNP | $28,000 – $65,000+ total |
| Post-Master's Certificate | $10,000 – $25,000 |
Additional costs may include:
- Clinical fees
- Simulation lab fees
- Certification exam fees
- Travel for campus intensives
Public Texas universities often offer lower in-state tuition compared to private institutions.
Salary Outlook For Pediatric Nurse Practitioners in Texas
Nurse practitioner salaries in Texas are competitive, particularly in metropolitan areas.
Average NP Salary in Texas:
- Approximate statewide average: $115,000–$130,000 annually
- Higher earnings possible in specialty pediatric acute care roles
- Urban markets often offer higher compensation
Pediatric NPs working in hospital-based acute care settings or specialty clinics may command higher salaries than those in primary care settings.
Licensing and Certification in Texas
After graduation, PNP students must:
- Pass national certification (PNCB or ANCC, depending on track)
- Apply for APRN licensure through the Texas Board of Nursing
- Meet prescriptive authority requirements
Texas is currently a restricted practice state, meaning physician collaboration agreements are required for prescribing authority.
How to Choose the Right Texas PNP Program
Rather than focusing only on rankings, consider these factors:
Clinical Placement Support
- Does the school arrange placements?
- Are sites available near your home?
Track Availability
- Does the school offer both acute and primary care?
- Is dual certification possible?
Delivery Format
- How often are on-campus visits required?
- Can you complete clinical hours locally?
Certification Pass Rates
- What is the first-time certification exam pass rate?
Long-Term Career Goals
- Are you aiming for hospital leadership (DNP)?
- Do you prefer outpatient pediatric practice (Primary Care)?
Career Settings After Graduation
Texas PNP graduates work in:
- Pediatric primary care clinics
- Specialty practices (cardiology, neurology, oncology)
- Children's hospitals
- Neonatal and pediatric ICUs
- School-based clinics
- Community health centers
High-demand areas include Houston, Dallas–Fort Worth, San Antonio, Austin, and border communities.
Frequently Asked Questions
Q: Are acute care PNPs paid more than primary care PNPs in Texas?
A: In many cases, yes. Hospital-based acute care roles often offer higher compensation due to the complexity and acuity of patients.
Q: How competitive are Texas PNP programs?
A: Admissions can be competitive, particularly for acute care tracks. Strong GPAs, pediatric RN experience, and professional references improve chances.
Q: Can I switch from FNP to PNP through a certificate?
A: Yes. Many Texas schools offer post-master's certificates allowing FNPs to add pediatric specialization.
Q: Do Texas PNP programs require pediatric RN experience?
A: Some strongly prefer or require pediatric clinical experience, especially for acute care tracks.
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