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

Yes, under physician delegation; RN may inject with written standing orders from supervising physician NP/PA may inject under physician collaboration; independent practice for injectables not clearly permitted

Delaware · Moderate

Can RNs and Nurse Practitioners Inject Botox in Delaware?

Nurses do most of the injecting in this industry — but Delaware 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; RN may inject with written standing orders from supervising physician

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice for injectables not clearly permitted

Supervision & the medical director

Required; physician must oversee the medical spa and delegate procedures

The exam requirement

Required; in-person exam by physician or qualified provider before treatment

What to verify in Delaware

Retain a Delaware-licensed physician as medical director with clear written delegation protocols, and confirm current telehealth GFE policy with the Delaware Medical Board.

Primary source: Delaware Board of Medical Licensure and Discipline; Delaware Board of Nursing

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

See the full Delaware regulation profile →

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