FNP vs PMHNP: Which NP Specialty Is Best? | 2026
Family nurse practitioners (FNPs) and psychiatric mental health nurse practitioners (PMHNPs) are advanced practice registered nurses (APRNs). Both are highly trained providers who diagnose and treat patients with specific health concerns. But the two specialties are also quite different.
This article explores the most significant differences and similarities between FNPs and PMHNPs. Read on to learn more, including FNP vs PMHNP education requirements, patient populations, salary, duties, and more.
Popular Online Master of Science in Nursing (MSN) Programs
Chamberlain University is the #1 largest school of nursing with a community of more than 177,000 students, faculty, and alumni. The school offers MSN-NP programs online and has a long history of successfully delivering top quality education. Chamberlain's Commitment to Completion Grant helps RNs earn advanced degrees with savings up to $9,100.
Enrollment: Nationwide except CT, NY, RI
Whether you’re taking the first steps toward a nursing degree, seeking to advance as a nurse or want to hone your craft with specialized study, there’s a path for you at Purdue Global’s School of Nursing. Our programs were designed so that you can easily balance your lives at home and work with school - without sacrificing the rigor and cutting-edge curriculum of a quality nursing education.
Enrollment: Nationwide, but certain programs have state restrictions. Check with Purdue for details.
GCU's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals.
Enrollment: Nationwide
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MSN - Psychiatric Mental Health NP
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MSN - Family NP
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MSN - Adult-Gerontology Acute Care NP
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MSN - Health Informatics
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MSN - Nursing Education
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MSN - Public Health Nursing
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MSN - Health Care Quality & Patient Safety
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MSN - Nursing Leadership in Health Care Systems
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MBA & MSN - Nursing Leadership in Health Care Systems
The Berkley School of Nursing at Georgetown University is one of the world’s leading academic and research institutions, and the university has been delivering graduate nursing programs in a distance-learning environment since 2011. The university's online programs allow students to learn from wherever they are while they pursue an accredited, mission-driven nursing education that will allow them to deliver high-quality care.
Enrollment: Nationwide, excluding NY and WA.
Earn your nursing degree from one of the largest nursing education providers in the U.S. Walden University’s BSN, MSN, post-master’s APRN certificate, and DNP programs are accredited by the Commission on Collegiate Nursing Education (CCNE). Get enhanced practicum support with our Practicum Pledge.
Enrollment: Nationwide, excluding CT, ND, NY and RI. Certain programs have additional state restrictions. Check with Walden for details.
FNP vs PMHNP: What’s the Difference?
What is a Family Nurse Practitioner (FNP)?
Family nurse practitioners are primary healthcare providers who treat people of all ages. They provide care to individuals and entire families, diagnosing conditions, ordering and interpreting labs, coordinating with other healthcare providers, and prescribing medications.
What is a Psychiatric Mental Health Nurse Practitioner (PMHNP)?
PMHNPs specialize in mental health treatment and primarily help patients with mental illnesses, disorders, and substance abuse problems. A PMHNP's primary duties include assessing, diagnosing, and providing treatment plans to patients.
Similarities & Differences Between FNPs and PMHNPs
Similarities
- Duties and responsibilities
- Advocacy
- Career outlook
- Work environment
- Skills
Differences
- Patient population
- Education/certification
- Salary
Popular Online Master of Science in Nursing (MSN) Programs
Chamberlain University is the #1 largest school of nursing with a community of more than 177,000 students, faculty, and alumni. The school offers MSN-NP programs online and has a long history of successfully delivering top quality education. Chamberlain's Commitment to Completion Grant helps RNs earn advanced degrees with savings up to $9,100.
Enrollment: Nationwide except CT, NY, RI
Whether you’re taking the first steps toward a nursing degree, seeking to advance as a nurse or want to hone your craft with specialized study, there’s a path for you at Purdue Global’s School of Nursing. Our programs were designed so that you can easily balance your lives at home and work with school - without sacrificing the rigor and cutting-edge curriculum of a quality nursing education.
Enrollment: Nationwide, but certain programs have state restrictions. Check with Purdue for details.
GCU's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals.
Enrollment: Nationwide
-
MSN - Psychiatric Mental Health NP
-
MSN - Family NP
-
MSN - Adult-Gerontology Acute Care NP
-
MSN - Health Informatics
-
MSN - Nursing Education
-
MSN - Public Health Nursing
-
MSN - Health Care Quality & Patient Safety
-
MSN - Nursing Leadership in Health Care Systems
-
MBA & MSN - Nursing Leadership in Health Care Systems
WGU's award-winning online programs are created to help you succeed while graduating faster and with less debt. WGU is a CCNE-accredited, nonprofit university offering bachelor's and master's degrees in nursing, with the additional distinction of being named a Center of Excellence in Nursing Education by the National League for Nursing. Join a trusted, accredited online university to accelerate your nursing career on your schedule. Scholarships and financial aid are available.
Enrollment: Nationwide
Earn your nursing degree from one of the largest nursing education providers in the U.S. Walden University’s BSN, MSN, post-master’s APRN certificate, and DNP programs are accredited by the Commission on Collegiate Nursing Education (CCNE). Get enhanced practicum support with our Practicum Pledge.
Enrollment: Nationwide, excluding CT, ND, NY and RI. Certain programs have additional state restrictions. Check with Walden for details.
FNP vs PMHNP Comparison
| FNP | PMHNP | |
| Salary | $127,976 annually (ZipRecruiter) | $139,486 annually (ZipRecruiter) |
| Demand | 35% (much faster than average) (BLS) | 35% (much faster than average) (BLS) |
| Total Currently Certified | 190,323 (AANP, ANCC) | 584 (AANP, ANCC) |
| Requirements |
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| Job Responsibilities |
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How Do I Decide Between Becoming a PMHNP vs an FNP?
The most important factor to consider when choosing between FNP and PMHNP is the patient population you want to help. While a family NP does treat patients with mental health disorders and illnesses, it's not their primary focus. On the other hand, psychiatric mental health NPs will treat the comorbidities of some patients, but generally aren't responsible for managing a patient's hypertension or diabetes.
Ultimately, knowing the type of patient you want to treat when comparing FNP vs PMHNP will be a key driver in your decision.
You can also pursue both specialties, either through a dual FNP/PMHNP program or even an FNP to PMHNP online program if you're already a practicing family nurse practitioner.
FAQs
Popular Online Master of Science in Nursing (MSN) Programs
Chamberlain University is the #1 largest school of nursing with a community of more than 177,000 students, faculty, and alumni. The school offers MSN-NP programs online and has a long history of successfully delivering top quality education. Chamberlain's Commitment to Completion Grant helps RNs earn advanced degrees with savings up to $9,100.
Enrollment: Nationwide except CT, NY, RI
Whether you’re taking the first steps toward a nursing degree, seeking to advance as a nurse or want to hone your craft with specialized study, there’s a path for you at Purdue Global’s School of Nursing. Our programs were designed so that you can easily balance your lives at home and work with school - without sacrificing the rigor and cutting-edge curriculum of a quality nursing education.
Enrollment: Nationwide, but certain programs have state restrictions. Check with Purdue for details.
GCU's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals.
Enrollment: Nationwide
-
MSN - Psychiatric Mental Health NP
-
MSN - Family NP
-
MSN - Adult-Gerontology Acute Care NP
-
MSN - Health Informatics
-
MSN - Nursing Education
-
MSN - Public Health Nursing
-
MSN - Health Care Quality & Patient Safety
-
MSN - Nursing Leadership in Health Care Systems
-
MBA & MSN - Nursing Leadership in Health Care Systems
The Berkley School of Nursing at Georgetown University is one of the world’s leading academic and research institutions, and the university has been delivering graduate nursing programs in a distance-learning environment since 2011. The university's online programs allow students to learn from wherever they are while they pursue an accredited, mission-driven nursing education that will allow them to deliver high-quality care.
Enrollment: Nationwide, excluding NY and WA.
Earn your nursing degree from one of the largest nursing education providers in the U.S. Walden University’s BSN, MSN, post-master’s APRN certificate, and DNP programs are accredited by the Commission on Collegiate Nursing Education (CCNE). Get enhanced practicum support with our Practicum Pledge.
Enrollment: Nationwide, excluding CT, ND, NY and RI. Certain programs have additional state restrictions. Check with Walden for details.
Additional Resources
PMHNP



