In May 1973, PNPs from six areas of the country met in Columbus, Ohio to explore alternatives for affiliating with nursing and medical professional organizations. The group decided PNPs could best be served by a specialty nursing organization. In September 1973, the first issue of the Pediatric Nurse Practitioner, the association's newsletter, was published highlighting the outcome of this meeting and announcing the agenda for the first national meeting of PNPs. In October 1973, 400 PNP's met at this national meeting and voted unanimously to support the development of NAPNAP.