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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-.
In an outpatient practice such as mine, the distinction between doctorsâ and nursesâ roles can be more subtle. Nurse practitioners, who have both bachelors and masters degrees plus special certification, prescribe medication, perform physical exams, and act in many ways indistinguishable from doctors.