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

Yes, under physician delegation and supervision NP/PA require physician supervision; 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, under physician delegation and supervision

Nurse practitioners & physician assistants

NP/PA require physician supervision; independent practice not permitted

Supervision & the medical director

Recommended; not explicitly required by statute

The exam requirement

Required; in-person preferred, telehealth varies by board interpretation

What to verify in Arkansas

Establish a clear physician supervision agreement and verify with the Arkansas Medical Board and Board of Nursing that your delegation protocols comply with current rules.

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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