Online NP Schools in North Carolina
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“Online programs are still held to the same national accreditation standards as traditional on-campus programs and provide in-person clinical opportunities for students. Here in North Carolina, we have robust clinical opportunities for students across the state, which makes this region of the country an excellent opportunity for training the next generation of nurse practitioners.”
Benjamin Smallheer, PhD, Assistant Dean of MSN Program, Duke University School of Nursing
Becoming a nurse practitioner (NP) in North Carolina offers an exciting and rewarding career path, made even more accessible by the growing number of online NP programs in the state. These programs provide flexibility for aspiring and current healthcare professionals, allowing them to balance their studies with work or personal commitments. Online learning opens doors for students to access high-quality education from anywhere in the state, enabling them to develop the skills and expertise needed to excel in their roles. Many of these programs also include clinical placement opportunities that allow students to gain practical experience in diverse healthcare settings across North Carolina, from urban centers to rural areas where care is often most needed.
North Carolina is a state that recognizes the essential role of nurse practitioners in providing primary and specialized care. With the increasing demand for healthcare services statewide, the number of NPs is on the rise. In 2022, there were approximately 8,200 nurse practitioners working across North Carolina, a number that is expected to grow significantly. According to CareerOneStop.org (2025), the state will see a projected 56 percent increase in NPs by 2032, reaching an estimated total of 12,750.
Meet the Expert: Benjamin Smallheer, PhD, ACNP-BC, FNP-BC, CCRN, CNE, FAANP

Dr. Benjamin Smallheer joined the Duke University School of Nursing faculty in 2016. He served as the director of the adult-gerontology nurse practitioner (acute care) major within the MSN program, and is now the assistant dean of the master of science in nursing program. His scholarly work is focused on improving the educational experience of nursing students. He is internationally recognized for his use of simulation and alternative teaching strategies that create learning environments that allow students to transition from the role of a bedside nurse to one of an advanced practice provider.
Dr. Smallheer came to Duke from the Vanderbilt University School of Nursing, where he had been a faculty member since 2006 and an assistant professor since 2011. At Vanderbilt, he worked with both pre-licensure and AGNP-AC students. He was also involved in faculty mentoring in both clinical and academic environments, receiving recognition for his work in incorporating innovative teaching methods and using technology in the learning environment.
As a nurse practitioner, Dr. Smallheer has practiced in a variety of clinical settings, including the emergency department, high acuity medical-surgical intensive care, long-term acute care, and has been the lead responder on a nurse practitioner-based rapid response and code team. He currently practices as an acute care clinician in the critical care unit at both Duke Raleigh Hospital and Duke Regional Hospital, within the Critical Care Medicine teams.
NPSchools.com: What do you wish the public understood about online nurse practitioner programs in North Carolina?
Dr. Smallheer: The emergence of online nurse practitioner programs began in the early 2000s. These programs offer students the opportunity to apply and attend schools that they would have had to uproot themselves and their families to attend previously.
Online programs are still held to the same national accreditation standards as traditional on-campus programs and provide in-person clinical opportunities for students. Here in North Carolina, we have robust clinical opportunities for students across the state, which makes this region of the country an excellent opportunity for training the next generation of nurse practitioners.
At Duke University School of Nursing, we have a dedicated clinical placement team that works with the students to secure their precepted clinical experiences, whether the learner is here within the state or across the country at another community/clinical partner.
NPSchools.com: What advice would you give to aspiring online nurse practitioner program students?
Dr. Smallheer: Taking the step to transition into the world of an advanced practice nurse is an important decision. Part of that decision is identifying the right program to apply to. When evaluating schools, be sure there is expertise you are looking for to support your professional development. Part of this can be gleaned by reading the mission and values of the school and university. These will give you an underpinning of what the institution stands for.
Secondly, give yourself some time to consider what kind of advanced practice nurse you would like to be. Are you interested in being a nurse practitioner, a certified registered nurse anesthetist, a certified nurse midwife, or a certified nurse specialist?
For instance, at Duke, we offer eight nurse practitioner programs. So, whether your interest is, for instance, neonatology, pediatric acute care, women’s health, or psych-mental health, we have the faculty and expertise to meet your future professional goals and aspirations.
Most Affordable Online NP Programs in North Carolina (Ranked by In-State Tuition)
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Duke University Medical Center |
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East Carolina University |
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NP Practice Authority in North Carolina
How Much Do Nurse Practitioners Make in North Carolina?
United States | North Carolina | |
Number of NPs Employed | 307,390 | 8,020 |
Average Salary | $132,000 | $124,830 |
10th Percentile | $97,960 | $100,120 |
25th Percentile | $109,940 | $108,920 |
50th Percentile (Median) | $129,210 | $125,020 |
75th Percentile | $149,570 | $137,340 |
90th Percentile | $169,950 | $158,440 |
Source: BLS May (2024)—the latest data available as of May 2025 |

Kimmy Gustafson
WriterAmong her many diverse writing endeavors, Kimmy Gustafson has also lent her expertise to NPSchools.com since 2020, providing insightful and engaging content about the significant role of education in shaping our future generations of nurse practitioners. Many of her pieces include interviewing experts on timely topics such as healthcare workplace violence and moral distress.
Kimmy has been a freelance writer for more than a decade, writing hundreds of articles on a wide variety of topics such as startups, nonprofits, healthcare, kiteboarding, the outdoors, and higher education. She is passionate about seeing the world and has traveled to over 27 countries. She holds a bachelor’s degree in journalism from the University of Oregon. When not working, she can be found outdoors, parenting, kiteboarding, or cooking.