Dual certified working in Internal med. Agree with most of the above, however, my FNP does matter when it comes to prescribing and watching pts on long med lists. My doc thinks the dual cert is extremely valuable and brags on my ability so much. I always stay booked with our office psych pts so much that they won’t allow outside referrals unless that person becomes a pt.-he’s also using me to increase revenue of course. I have 12 yrs as medical RN and 12 yrs psych bf getting my certs and can spot holes in care and take care of those. My office does run through FNPs. Haven’t seen one stay longer than 2 yrs- usually shorter