Can registered nurses and nurse practitioners inject Botox and fillers in Arkansas?

Yes, RNs may inject under physician supervision and delegation NP/PA may inject with physician collaboration; independent practice not permitted

Arkansas · Moderate

Can RNs and Nurse Practitioners Inject Botox in Arkansas?

Nurses do most of the injecting in this industry — but Arkansas draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, RNs may inject under physician supervision and delegation

Nurse practitioners & physician assistants

NP/PA may inject with physician collaboration; independent practice not permitted

Supervision & the medical director

Required for RN injectors; physician must supervise and delegate

The exam requirement

Required; in-person exam before treatment

What to verify in Arkansas

Establish a written physician supervision agreement and ensure the medical director is actively involved in treatment planning and RN delegation protocols.

Primary source: Arkansas Medical Board; Arkansas Board of Nursing

General business information for Arkansas medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Arkansas board (and your own counsel) before you act.

See the full Arkansas regulation profile →

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