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PAs are licensed by the state. medical licensing board, the PA-specific component of the. medical board, or a separate PA board. 11 All states and the. District of Columbia require PAs to pass the Physician. Assistant National Certification Examination adminis-.
When the patient asks me what the difference is between a PA and an NP, the difference is really in our training and our background, said Physician Assistant Patrick Killeen, president of the American Academy of Physician Assistants (AAPA).urse Practitioner vs. Physician Assistant. Nurse practitioners (NPs) work in a variety of settings. So do physician assistants (PAs). They can both be found in hospitals and clinics, from rural to urban practices. PAs care for a variety of conditions. So do NPs.