The Different Levels of Nursing: A Complete Guide for 2025-2026

Nursing is one of the most respected and in-demand professions in healthcare. But many people don’t realize there are several levels of nursing, each with its own scope of practice, education requirements, responsibilities, and salary potential.

Whether you’re considering entering the field or looking to advance your career, understanding the different nursing roles can help you make the right decision for your future.

Why Nursing Levels Matter

The nursing profession is structured like a ladder — each level builds upon the previous one. From certified nursing assistants (CNAs) to nurse practitioners (NPs), each role plays a vital part in patient care. The more education and training you receive, the more responsibilities and opportunities you unlock.

Overview of Nursing Levels

Below is a quick comparison of the most common nursing levels:

Nursing LevelEducation RequiredTypical DutiesMedian Salary (2025 est.)
CNA (Certified Nursing Assistant)State-approved certificate (4–12 weeks)Basic care, assist patients with daily tasks$32,000
LPN/LVN (Licensed Practical/Vocational Nurse)Diploma or certificate (12–18 months)Monitor health, provide basic medical care$50,000
RN (Registered Nurse)Associate or Bachelor’s Degree (ADN/BSN)Administer meds, coordinate patient care$78,000
BSN-RN (Bachelor of Science in Nursing)4-year degree or RN to BSN bridgeLeadership roles, more specialties$82,000
MSN (Master of Science in Nursing)Graduate-level degree (2–3 years)Advanced practice, education, admin$100,000+
NP (Nurse Practitioner)MSN or DNP (Doctor of Nursing Practice)Diagnose, prescribe, provide primary care$115,000–$140,000
DNP/PhD in NursingDoctorate (3–6 years)Leadership, research, education$120,000+

1. Certified Nursing Assistant (CNA)

Education: High school diploma + state-approved training program
License: Required in most states
Duration: ~1–3 months

Role: CNAs assist patients with daily activities like bathing, eating, and mobility. They also report changes in patient conditions to nurses.

Best For: Entry-level healthcare workers who want to gain quick access to the nursing field.

2. Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN)

Education: One-year diploma or certificate
License: Pass NCLEX-PN exam

Role: LPNs and LVNs offer basic nursing care, take vitals, change bandages, and communicate with RNs and doctors.

Best For: Those looking to enter the workforce quickly with more responsibility than a CNA.

3. Registered Nurse (RN)

Education: Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN)
License: Pass NCLEX-RN exam

Role: RNs provide direct patient care, administer medication, and collaborate with medical teams. BSN-RNs often qualify for leadership roles.

ADN vs. BSN:

  • ADN takes ~2 years
  • BSN takes ~4 years
  • BSN-prepared nurses may have higher job prospects and salaries

4. Bachelor of Science in Nursing (BSN)

While an ADN qualifies you as an RN, many employers now prefer or require a BSN. A BSN provides more in-depth training and opens the door to management, public health, and specialty areas.

RN to BSN bridge programs are available online and can be completed in 12–18 months.

5. Master of Science in Nursing (MSN)

Education: BSN + 2–3 years of graduate school

Specializations include:

  • Nurse Educator
  • Nurse Administrator
  • Clinical Nurse Leader
  • Family Nurse Practitioner (FNP)

Role: MSN-prepared nurses take on leadership roles or move into advanced practice areas. This is also the pathway toward becoming a Nurse Practitioner.

6. Nurse Practitioner (NP)

Education: MSN or Doctor of Nursing Practice (DNP)
License: National certification in chosen specialty

Role: NPs perform physical exams, order tests, prescribe medications, and manage patient treatment plans. In many states, they can work independently of physicians.

Popular NP Specialties:

  • Family Nurse Practitioner (FNP)
  • Psychiatric Mental Health NP
  • Pediatric NP
  • Acute Care NP

7. Doctor of Nursing Practice (DNP) / PhD in Nursing

DNP: Focuses on clinical practice, leadership, and health systems
PhD in Nursing: Emphasizes research, education, and academic roles

Roles Available:

  • Hospital administration
  • Nurse educator at the university level
  • Clinical researcher
  • Policy advisor

How to Choose the Right Nursing Path

When deciding which level of nursing is right for you, consider:

  • Time commitment: Do you want to enter the field quickly, or are you ready to invest years in education?
  • Career goals: Are you aiming for bedside care or leadership?
  • Work setting: Hospitals, clinics, schools, or research?
  • Income needs: Higher degrees often lead to higher salaries

Fastest-Growing Nursing Careers

Due to healthcare demands and an aging population, some of the most in-demand nursing roles in 2025–2026 include:

Nursing RoleProjected Growth (2025–2030)Work Environment
Nurse Practitioner (NP)+38%Hospitals, Clinics, Private Practice
RN (BSN-prepared)+15%Hospitals, Home Health, Schools
Nurse Educator+20%Colleges, Nursing Programs
Geriatric Nurse+23%Long-Term Care, Assisted Living

The nursing profession offers diverse pathways and excellent career flexibility. Whether you’re starting as a CNA or aiming to become a Nurse Practitioner, there’s a level of nursing to match your goals.

Understanding these levels allows you to plan a career that aligns with your passions, timeline, and earning potential — all while making a difference in the lives of others.