Most Affordable Online BSN to MSN Bridge Programs for 2025
Co-Founder and Chief Data Scientist
The National Center for Health Workforce Analysis reports that over 40% of the nursing workforce has pursued additional education beyond their initial licensure, signaling a strong desire for career advancement among registered nurses (RNs). For many nurses with a Bachelor of Science in Nursing (BSN), the next step is earning a Master of Science in Nursing (MSN)—but affordability is a major concern.
This article helps solve that problem by exploring the most affordable online BSN to MSN programs available for 2025, making it easier to take the next step in your nursing career without taking on unnecessary debt.
What are the benefits of getting an online BSN to MSN Bridge Program?
- Graduates can move into advanced roles such as nurse practitioner (NP), nurse midwife, nurse anesthetist, clinical nurse leader, or nurse educator.
- According to the US Bureau of Labor Statistics (BLS), nurse anesthetists, nurse midwives, and NPs earned a median annual wage of $132,050 in May 2024—well above the national average for all occupations.
- Online BSN to MSN programs offer the ability to study from home, often on your own schedule, making it easier to balance work, family, and education.
What can I expect from an online BSN to MSN bridge program?
An online BSN to MSN bridge program is designed for RNs who already hold a BSN and want to pursue advanced practice roles. These programs typically take 18 to 36 months to complete, depending on the specialization and whether the student is enrolled full- or part-time. Coursework includes advanced health assessment, pharmacology, pathophysiology, leadership, and evidence-based practice.
Many programs also offer tracks in nurse education, nurse administration, or advanced clinical practice such as family NP (FNP). While most learning is completed online, students are usually required to complete supervised clinical hours in their local area. The online format allows working nurses to continue their careers while advancing their education.
Where can I work after completing a BSN to MSN bridge program?
Graduates of BSN to MSN programs are qualified to work in a variety of advanced nursing roles across numerous healthcare settings. Many find employment in hospitals, outpatient clinics, private practices, and community health centers. Depending on their specialization, MSN-prepared nurses may also work in surgical centers, birthing centers, or long-term care facilities. Nurse educators can find opportunities in academic institutions and staff training departments in hospitals.
Additionally, the demand for MSN-prepared nurses extends beyond traditional healthcare. Public health departments, government agencies, and nonprofit organizations also employ advanced practice nurses in roles related to policy, education, and community health. Telehealth companies and healthcare technology firms increasingly seek MSN-educated professionals for clinical leadership and consulting positions.
How much can I make after completing a BSN to MSN bridge program?
Earning an MSN significantly boosts your salary potential. As of May 2024, BLS reports that the median annual salary for nurse anesthetists, nurse midwives, and NPs is $132,050. Salaries vary based on specialization: nurse anesthetists tend to be on the higher end of the scale, often earning more than $200,000 annually, while nurse educators typically earn between $85,000 and $105,000.
Geographic location and experience also play major roles in determining income. For example, advanced practice nurses in metropolitan areas or high-demand regions may command higher salaries due to shortages or cost of living. Regardless of where you work, completing a BSN to MSN program is one of the most reliable paths to higher pay and greater job security in the nursing profession.
Table of Contents
- List of the Most Affordable Online BSN to MSN Bridge Programs for 2025
- How long does it take to complete an online BSN to MSN bridge program?
- How does an online BSN to MSN bridge program compare to an on-campus program?
- What is the average cost of an online BSN to MSN bridge program?
- What are the financial aid options for students enrolling in an online BSN to MSN bridge program?
- What are the prerequisites for enrolling in an online BSN to MSN bridge program?
- What courses are typically in an online BSN to MSN bridge program?
- What types of specializations are available in online BSN to MSN bridge programs?
- How do you choose the most affordable online BSN to MSN bridge program?
- What career paths are available for graduates of online BSN to MSN bridge programs?
- How Do Online BSN to MSN Programs Bridge the Gap to Advanced Practice Roles?
- What is the job market like for graduates who completed an online BSN to MSN bridge program?
- What should nurses do if they don’t meet the prerequisites for a BSN to MSN bridge program?
- How Can I Evaluate the Quality of an Online BSN to MSN Bridge Program?
- Other Things You Should Know About the Most Affordable Online BSN to MSN Bridge Programs
List of the Most Affordable Online BSN to MSN Bridge Programs for 2025
How do we rank schools?
We understand that investing in an advanced degree like an MSN is a major decision—both professionally and financially. To help you make an informed choice, our ranking of the most affordable online BSN to MSN programs for 2025 has been carefully developed by Research.com’s team of higher education experts. The goal is to provide a transparent, data-driven guide that empowers registered nurses to pursue further education without overspending.
Our ranking methodology is built on trusted and publicly available sources. We’ve analyzed data from the IPEDS database, Peterson’s Distance Learning Licensed Data Set, the College Scorecard database, and the National Center for Education Statistics. For full details on how we evaluated each school, including criteria such as tuition, online availability, accreditation, and program structure, please visit our methodology page.
Below is our curated list of ten institutions offering the most affordable online BSN to MSN bridge programs for 2025:
1. University of Central Missouri
The University of Central Missouri (UCM) offers an online BSN to MSN program aimed at working RNs seeking leadership and educator roles. Launched in 2014, the program features asynchronous coursework with occasional synchronous sessions. It’s designed for nurses balancing career and family responsibilities while pursuing graduate education. Students can choose between nurse educator and nurse leader tracks. UCM’s strong faculty support and budget-friendly tuition make it a competitive choice.
- Program Length: Two to three years
- Tracks/concentrations: Nurse Educator, Nurse Leader
- Cost per Credit: $360
- Required Credits to Graduate: 44 to 47
- Accreditation: Commission on Collegiate Nursing Education (CCNE)
2. Fort Hays State University
Fort Hays State University delivers a fully online BSN to MSN program tailored for professionals in rural and underserved areas. With a history of online nursing education since 2001, the program features flexible course schedules and individualized academic advising. It’s ideal for students who need affordability, access, and academic rigor in one package.
- Program Length: Two and a half to three years
- Tracks/concentrations: Nursing Administration, Nursing Education
- Cost per Credit: $319
- Required Credits to Graduate: 36
- Accreditation: CCNE
3. Western Governors University
Western Governors University (WGU) offers a self-paced, competency-based BSN to MSN program designed for working adults. Founded in 1997 as a fully online institution, WGU provides a unique tuition model where students can complete as many courses as they can during a term. This model can significantly lower overall costs for motivated learners.
- Program Length: As little as 18 months
- Tracks/concentrations: Nursing Education, Nursing Leadership & Management
- Cost per Credit: Flat-rate $4,795 per 6-month term
- Required Credits to Graduate: 36 to 41
- Accreditation: CCNE
4. Texas Tech University Health Sciences Center
Texas Tech’s online BSN to MSN program offers academic rigor and career-focused training, especially for nurses in West Texas and similar regions. Established online in 2005, the program includes both asynchronous coursework and in-person clinical requirements coordinated locally. It’s known for its strong partnerships with healthcare providers.
- Program Length: Two to three years
- Tracks/concentrations: Nursing Administration, FNP
- Cost per Credit: $265 (in-state), $673 (out-of-state)
- Required Credits to Graduate: 48 to 54
- Accreditation: CCNE
5. Georgia Southwestern State University
Georgia Southwestern State (GSW) is a public institution provides a budget-conscious BSN to MSN pathway through fully online coursework. The program started in 2012 and focuses on equipping nurses for educator and leadership roles in regional hospitals and academic settings. GSW’s low tuition and flexible schedule make it ideal for working nurses.
- Program Length: Two years
- Tracks/concentrations: Nursing Education, Nursing Leadership
- Cost per Credit: $257
- Required Credits to Graduate: 36
- Accreditation: CCNE
6. University of Texas at Tyler
The University of Texas at Tyler’s BSN to MSN program combines high-quality education with affordability. With over 15 years of experience in online nursing education, the university offers a streamlined program tailored for Texas nurses who want to advance in management or education. The curriculum is delivered online, with clinical experiences arranged near the student’s home.
- Program Length: Two to three years
- Tracks/concentrations: Education, Administration, FNP
- Cost per Credit: $300 (in-state)
- Required Credits to Graduate: 36 to 45
- Accreditation: CCNE
7. Lamar University
Lamar University’s online BSN to MSN program, active since 2013, is designed for RNs aiming to move into leadership roles. The program emphasizes evidence-based practice, policy, and ethics. Lamar’s online platform supports asynchronous learning and allows students to complete clinical requirements in their local communities.
- Program Length: Two years
- Tracks/concentrations: Nursing Administration, Nursing Education
- Cost per Credit: $314
- Required Credits to Graduate: 37
- Accreditation: CCNE
8. University of North Alabama
The University of North Alabama’s (UNA) online BSN to MSN bridge program blends affordability with strong academic outcomes. With online nursing programs dating back to 2008, UNA is experienced in supporting remote learners. The program offers fast-track options and local clinical arrangements.
- Program Length: Two to two and a half years
- Tracks/concentrations: Teaching-Learning, Leadership
- Cost per Credit: $340
- Required Credits to Graduate: 31 to 39
- Accreditation: CCNE
9. McNeese State University
McNeese State’s BSN to MSN program provides a strong return on investment for Louisiana-based students. The online curriculum focuses on preparing nurse educators for academic and healthcare training roles. Though asynchronous, some synchronous interaction with faculty enhances student support.
- Program Length: Two years
- Tracks/concentrations: Nurse Educator
- Cost per Credit: $375
- Required Credits to Graduate: 35
- Accreditation: Accreditation Commission for Education in Nursing (ACEN)
10. University of South Alabama
The University of South Alabama’s College of Nursing offers a robust and affordable online BSN to MSN bridge program with multiple concentration options. The university has a long-standing reputation for excellence in distance nursing education. Launched in 2003, the online MSN program is ideal for those seeking clinical, administrative, or educational advancement.
- Program Length: Two to three years
- Tracks/concentrations: AGACNP, FNP, PMHNP, Nurse Administrator, Nurse Educator
- Cost per Credit: $348
- Required Credits to Graduate: 39 to 60
- Accreditation: CCNE
How long does it take to complete an online BSN to MSN bridge program?
Most online BSN to MSN programs take between 18 months and three years to complete, depending on the program’s structure, the student's pace, and whether they enroll full-time or part-time. Programs that offer asynchronous classes and accelerated pathways allow for greater flexibility, often enabling students to graduate more quickly than traditional campus-based models.
For nurses looking to fast-track their education, accelerated NP programs online provide a streamlined path into advanced practice roles. These are ideal for highly motivated individuals with a clear professional goal in mind. On the other hand, those balancing work and family responsibilities may opt for a part-time schedule, which could extend the duration to three years or more. Regardless of the timeline, online programs offer the advantage of letting students progress at a pace that aligns with their personal and professional commitments.
How does an online BSN to MSN bridge program compare to an on-campus bridge program?
Flexibility and Convenience
Online BSN to MSN programs provide greater flexibility in scheduling, allowing students to study at their own pace and from virtually any location. This is especially beneficial for working nurses or those living in rural areas without access to graduate-level nursing programs.
Curriculum and Quality
Both online and on-campus programs typically follow the same rigorous curriculum, are taught by the same faculty, and maintain the same accreditation standards. This ensures that online students are not receiving a diluted version of the degree. Clinical requirements are arranged locally, ensuring that students gain hands-on experience even while studying remotely.
Interaction and Engagement
While on-campus students may benefit from face-to-face interaction and immediate access to campus resources, online learners often enjoy smaller class sizes, dedicated discussion forums, and one-on-one virtual access to instructors. Online programs are increasingly integrating interactive tools to simulate the in-person experience.
Prospective students comparing these formats may also be interested in exploring the cheapest RN to BSN online programs as a stepping stone toward an MSN degree.
What is the average cost of an online BSN to MSN bridge program?
The cost of an online BSN to MSN program varies widely depending on the institution’s status (public or private) and residency requirements. According to Data USA, the median cost for a nursing school education is $9,489 for in-state students attending public institutions and $38,312 for out-of-state students at private colleges. Using this data as a basis, we can estimate the following for BSN to MSN bridge programs:
- Median out-of-state cost for public institutions may fall between $15,000 and $22,000, depending on the program’s length and tuition structure.
- Median in-state cost for private institutions could be roughly $30,000 to $35,000, especially if clinical fees, textbooks, and technology costs are considered.
For many students, cost considerations are a driving factor. Those exploring alternative career paths in the healthcare field may also want to look into the steps to become a travel LPN as a more affordable and flexible short-term option.
What are the financial aid options for students enrolling in an online BSN to MSN bridge program?
Financing a graduate degree can be challenging, but several options are available to support students pursuing an online BSN to MSN:
- Federal student loans: According to the National Center for Health Workforce Analysis, nearly 2.0 million RNs (45.2%) reported using federally assisted student loans to finance part or all of their initial nursing degree.
- Private or non-federal loans: About 16.9% of RNs used non-federal loans to cover educational expenses.
- Employer tuition reimbursement: Many healthcare employers offer tuition assistance or reimbursement programs as part of their benefits package, especially for nurses pursuing leadership or advanced clinical roles.
- Scholarships and grants: These include need-based grants from federal and state governments, as well as scholarships from nursing associations and nonprofit organizations.
- Work-study and assistantships: Some universities offer graduate assistantships or work-study options, even for online learners.
These options can significantly offset the cost of tuition, helping nurses advance their careers without incurring overwhelming debt.
If you want to start your career as a registered nurse with an ADN, you can look into affordable associate degree in nursing programs online.
What are the prerequisites for enrolling in an online BSN to MSN bridge program?
Before enrolling in an online BSN to MSN program, applicants must meet a series of academic and professional prerequisites. These ensure that students are adequately prepared for the rigors of graduate-level nursing education. Common requirements include:
- A current and unencumbered RN license
- Completion of a BSN degree
- Minimum undergraduate GPA (typically 3.0 or higher)
- Professional nursing experience (one to two years, depending on program)
- Letters of recommendation and a personal statement
Understanding the differences between degree paths is essential. Those still weighing their options may find our comparison of BSN vs RN helpful.
According to the National Center for Health Workforce Analysis, among the nearly 2.0 million RNs who entered the workforce with a bachelor's degree, 342,678 (17.3%) went on to earn a master's degree, while 56,464 (2.9%) obtained a doctorate. These figures reflect the growing trend toward advanced education in nursing and the expanding scope of roles available to MSN-prepared professionals.
What courses are typically in an online BSN to MSN bridge program?
While course offerings vary slightly between institutions and concentrations, most online BSN to MSN programs follow a curriculum that blends core nursing theory, leadership, advanced practice, and evidence-based care. Courses are designed to prepare students for both direct patient care and administrative roles.
Core courses often include:
- Advanced Health Assessment: Teaches nurses how to evaluate patients holistically using physical exams and diagnostic tools.
- Pathophysiology: Covers the biological and physiological processes that lead to disease.
- Pharmacology: Focuses on the safe and effective use of medications in advanced practice settings.
- Evidence-Based Practice and Research: Equips students with research skills and the ability to integrate clinical evidence into patient care.
- Healthcare Policy and Leadership: Prepares nurses for leadership roles and advocacy within the healthcare system.
Specialized electives and clinical practicums will vary depending on the track chosen, but all programs include supervised clinical hours to ensure real-world application of knowledge.
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What types of specializations are available in online BSN to MSN bridge programs?
Online BSN to MSN programs typically allow students to choose a specialization that aligns with their professional goals and patient population interests. Each specialization has its own coursework, clinical focus, and certification path.
Common specializations include:
- FNP: Offers primary care across the lifespan—from pediatrics to geriatrics.
- Adult-Gerontology NP (AGNP): Focuses on adult and elderly populations. For those interested in this role, you may want to explore how to become a GNP.
- Pediatric NP (PNP): Concentrates on the care of children from infancy through adolescence.
- Psychiatric-Mental Health NP (PMHNP): Trains nurses to assess and treat individuals with psychiatric disorders.
- Nurse Educator or Nurse Leadership Tracks: Ideal for those pursuing academic, policy, or managerial roles in healthcare settings.
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According to Data USA, NPs and nurse midwives need a wide range of competencies, with a strong emphasis on active listening, reading comprehension, and social perceptiveness. These skills are developed across all MSN tracks and are especially critical in patient-centered roles such as primary and mental health care.
How do you choose the most affordable online BSN to MSN bridge program?
Selecting the most affordable program requires looking beyond just tuition rates. Prospective students should evaluate the total value offered, considering academic support, career services, and flexibility.
Key factors to consider:
- Tuition and Fees: Compare per-credit costs and whether in-state tuition is offered to out-of-state online learners.
- Accreditation: Ensure the program is accredited by bodies like CCNE or ACEN. Accreditation impacts your ability to transfer credits, qualify for certification exams, and receive financial aid.
- Clinical Placement Support: Some schools assist in arranging clinical rotations near your home, which can save time and money.
- Program Format: Synchronous vs. asynchronous delivery can influence how easily you balance work and study.
- Reputation and Outcomes: Research graduation rates, certification pass rates, and student satisfaction to gauge the program's effectiveness.
Ultimately, affordability means finding a high-quality education that fits your budget, timeline, and long-term career goals.
What career paths are available for graduates of online BSN to MSN bridge programs?
Graduates of BSN to MSN programs are eligible for a broad range of high-demand, high-paying roles in healthcare. These positions often offer significant autonomy, leadership responsibilities, and the opportunity to impact patient outcomes on a larger scale.
Some popular career paths include:
- NP: Provides primary and specialized care, often in collaboration with physicians.
- Nurse Midwife: Delivers prenatal, childbirth, and postpartum care, along with general women’s health services.
- Nurse Anesthetist: Administers anesthesia in surgical and outpatient procedures—among the highest-paid nursing roles.
For those interested in other BSN-prepared nursing roles, flight nurses offer critical care during air medical transport. Learn more about this role and its earning potential by visiting the flight nurse salary data.
According to BLS, NPs, nurse midwives, and nurse anesthetists earn around $128,000 to $223,000 per year. These salary levels reflect both the advanced training of MSN-prepared nurses and the critical role they play in addressing healthcare shortages across the country.
How Do Online BSN to MSN Programs Bridge the Gap to Advanced Practice Roles?
Online BSN to MSN programs are designed not only to elevate clinical skills but also to strategically prepare graduates for advanced practice positions. These programs structure their curriculum to integrate specialized coursework with clinically focused experiences that facilitate a seamless transition into roles such as nurse practitioner, clinical nurse specialist, and nurse educator. For professionals aiming to enter advanced practice without previous nurse practitioner experience, some institutions offer tailored tracks that expedite certification and licensure. Students should evaluate each program’s trajectory, including clinical partnerships and support services, to ensure alignment with long-term career goals. Additionally, those considering a direct path into advanced practice may benefit from reviewing options under the direct entry master's nurse practitioner track.
What is the job market for graduates who completed an online BSN to MSN bridge program?
The job outlook for MSN-prepared nurses is exceptionally strong and continues to grow as healthcare systems expand to meet increasing demand for preventive and specialized care. Online graduates are equally competitive in the job market, provided their program holds proper accreditation and includes supervised clinical training.
According to BLS, employment for nurse anesthetists, nurse midwives, and NPs is projected to grow 40% from 2023 to 2033—much faster than the average for all occupations. This growth is driven by factors such as:
- Expanded access to healthcare services
- An aging population with complex health needs
- Increasing reliance on advanced practice nurses in both rural and urban settings
Online BSN to MSN graduates can expect to find opportunities not only in hospitals but also in outpatient clinics, telehealth services, long-term care facilities, and educational institutions. With such a strong demand, the decision to pursue an MSN—especially through a flexible online format—can offer a substantial return on investment.
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What should nurses do if they don’t meet the prerequisites for a BSN to MSN bridge program?
If you're a registered nurse looking to pursue a master's degree but don’t yet meet the prerequisites for a BSN to MSN bridge program—such as holding a BSN or meeting clinical requirements—you still have viable and strategic pathways forward. One of the most effective routes is to first enroll in an RN to BSN program, which can typically be completed in as little as 12 months and provides the foundational education needed to qualify for MSN admission. Many of these programs are designed with working nurses in mind and offer full online flexibility. If clinical hours or prerequisites are a concern, consider exploring RN to BSN online programs without prerequisites, which streamline your path by removing common barriers such as on-site clinicals or rigid admission requirements. These programs are particularly useful for nurses who need to upskill quickly while maintaining their current employment. By taking this step, you not only become eligible for a future BSN to MSN bridge program but also open doors to higher-paying roles and leadership positions within your current healthcare setting.
How Can I Evaluate the Quality of an Online BSN to MSN Bridge Program?
When assessing an online BSN to MSN program, prospective students should verify that the institution meets recognized accreditation standards and consistently demonstrates strong licensure exam pass rates and graduate success metrics. Consider evaluating program outcomes through independent reviews, graduation rates, and documented clinical partnerships that validate hands-on training effectiveness. It is also beneficial to review faculty credentials and the extent of career support services offered, such as mentoring and networking opportunities. For a comprehensive comparison of costs alongside quality indicators, refer to affordable online nursing programs.
Here’s What Graduates Have to Say About Online BSN to MSN Bridge Programs
Balancing a full-time job and family responsibilities seemed daunting, but the online BSN to MSN program made it achievable. The asynchronous classes allowed me to study during my free hours without compromising my work schedule. I appreciated the ability to pace myself, especially during challenging weeks. The support from instructors and peers was just as robust as any in-person program I've experienced. Earning my MSN online was a game-changer for my career and personal growth. Jessica
Transitioning from a BSN to an MSN online opened doors I hadn't imagined. The program's comprehensive curriculum prepared me for advanced clinical roles, and I secured a nurse practitioner position shortly after graduation. The online format didn't compromise the quality of education; in fact, it enhanced my self-discipline and time management skills. Networking with professionals nationwide enriched my learning experience. I'm now more confident and competent in my practice. Michael
Pursuing my MSN online was not only convenient but also financially sensible. The tuition was more affordable compared to traditional programs, and I saved on commuting and relocation expenses. The online resources were extensive, and I never felt isolated thanks to interactive forums and virtual study groups. This mode of learning made advanced education accessible without the burden of debt. I'm grateful for the opportunity to advance my career without financial strain. Alyssa
Key Findings
- According to the National Center for Health Workforce Analysis, 40.2% of the nursing workforce (1,750,277 RNs) have completed a second degree or advanced certificate since initially entering the workforce.
- The median annual wage for nurse anesthetists, nurse midwives, and NPs was $132,050 in May 2024, highlighting the financial benefits of advanced nursing degrees.
- Online BSN to MSN programs offer the flexibility to balance work, life, and education, making advanced degrees more accessible to working professionals.
- Students can choose from various specializations, including FNP, AGNP, and nurse educator, aligning with their career goals.
- Nearly 2.0 million RNs (45.2% of the workforce) indicated that they used federally assisted student loans to finance at least part of their initial nursing degree, emphasizing the importance of financial planning.
Other Things You Should Know About the Most Affordable Online BSN to MSN Bridge Programs
Are online BSN to MSN programs respected by employers?
Yes, online BSN to MSN programs from accredited institutions are widely respected by employers. Accreditation ensures that the program meets rigorous academic and professional standards. Employers recognize the dedication and self-discipline required to complete an online program. Graduates are evaluated based on their competencies and certifications, not the mode of education delivery. It's essential to choose programs accredited by bodies like CCNE or ACEN to ensure credibility.
Can I complete clinical hours locally in an online BSN to MSN program?
Most online BSN to MSN programs allow students to complete clinical hours at approved healthcare facilities in their local area. This arrangement provides practical experience without the need to relocate. Students typically work with program coordinators to identify suitable clinical sites and preceptors. It's important to verify that the program offers this flexibility before enrollment. Local clinical placements enhance learning by allowing students to apply skills in familiar healthcare settings.
How do online BSN to MSN programs handle exams and assessments?
Online BSN to MSN programs utilize various methods for exams and assessments, including timed online tests, open-book quizzes, research papers, and discussion participation. Some programs may require proctored exams, which can be conducted virtually or at designated centers. Continuous assessments through assignments and projects are common to evaluate understanding. These methods ensure that students are meeting learning objectives effectively. Clear guidelines and support are typically provided to help students navigate the assessment process.
What support services are available to online BSN to MSN students?
Online BSN to MSN students have access to a range of support services, including academic advising, technical support, library resources, and career counseling. Many programs offer virtual tutoring and writing assistance to help with coursework. Discussion forums and online communities provide platforms for peer interaction and support. Institutions often have dedicated support staff to address the unique needs of online learners. These services are designed to ensure that online students receive comprehensive support throughout their academic journey.
References:
- BLS. (2025, April 18). Nurse anesthetists, nurse midwives, and nurse practitioners. BLS.
- Data USA. (n.d.). Nurse practitioners & nurse midwives. Data USA.
- Data USA. (n.d.). Nursing School. Data USA.
- National Center for Health Workforce Analysis (2024, March). Nursing Education and Training: Data from the 2022 NSSRN. bhw.hrsa.gov.
