Remember if you book your appointment with your doctor and are confronted with a nurse practitioner once you arrive for your appointment I suggest you do what I did and refuse. This is classic bait and switch and if you accept it will continue. I’m my case I specifically booked my appointment with a doctor. A nurse practitioner is not a doctor so why pay the full fee and not get what you paid for? Just because a NP is allowed to practice in some stated does not mean you shouldn’t be advised that you will not be seeing a doctor when you book your appointment. Just an FYI