Can registered nurses and nurse practitioners inject Botox and fillers in North Dakota?

Yes, under physician delegation; RN may inject with standing orders from a supervising physician. NP/PA may practice with significant independence; physician collaboration required for some procedures but not all injectable settings.

North Dakota · Lenient

Can RNs and Nurse Practitioners Inject Botox in North Dakota?

Nurses do most of the injecting in this industry — but North Dakota 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 standing orders from a supervising physician.

Nurse practitioners & physician assistants

NP/PA may practice with significant independence; physician collaboration required for some procedures but not all injectable settings.

Supervision & the medical director

Not always required; depends on practice structure and ownership model.

The exam requirement

Required; in-person or telehealth allowed.

What to verify in North Dakota

Verify with the North Dakota Medical Board whether your specific ownership and delegation model requires a medical director, as rules vary by practice structure.

Primary source: North Dakota Medical Board; Board of Nursing.

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

See the full North Dakota regulation profile →

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