Nakhonphanom Province had many tourist travel because through Nakhon Phanom and Laos to Vietnam. It is approximately a 5 hour journey to get into Vietnam from Nakhon Phanom. Many local travel agents can arrange group visits to the many attractions in Laos and Vietnam. Also with the business in Vietnam growing at ground breaking pace, many business travellers also travel through Nakhon Phanom into Vietnam for business trips, or to seek and learn about more business opportunities.
Travel to Tha Khaek across the Mekong into central Laos following Route 12 has recently become popular both for those seeing to visit the new jungle preserves created by the Democratic People's Republic of Laos as well as visit the location of the famous Ho Chi Minh Trail. Visa entry is now possible on the ferry between the two cities.