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

Yes, under physician delegation and direct supervision May inject under physician supervision; independent practice not permitted for injections

Michigan · Moderate

Can RNs and Nurse Practitioners Inject Botox in Michigan?

Nurses do most of the injecting in this industry — but Michigan 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 direct supervision

Nurse practitioners & physician assistants

May inject under physician supervision; independent practice not permitted for injections

Supervision & the medical director

Required; physician must supervise and oversee injection protocols

The exam requirement

Required; in-person exam generally required, telehealth varies by board interpretation

What to verify in Michigan

Establish a clear written delegation and supervision agreement with your medical director and verify compliance with Michigan LARA's current guidance on RN and NP/PA scope.

Primary source: Michigan Department of Licensing and Regulatory Affairs (LARA) / Michigan Medical Board

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

See the full Michigan regulation profile →

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