Bumfuck nowhere tends to be like this. The only gyno (not just a nurse practitioner) we had was this stout Asian man with really hairy knuckles. I didn't mind him. He tried to get me on hormone pills to "control" my pubic hair. That was weird and didn't happen but yeah. He was actually better than any clinic nurse for sure. He delivered all 4 of me and my siblings. Just wanted to get paid commission for the pills, I assume.