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

Yes, under physician delegation; RNs may inject with appropriate supervision. NP/PA may practice with physician collaboration; some independent authority permitted depending on scope.

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; RNs may inject with appropriate supervision.

Nurse practitioners & physician assistants

NP/PA may practice with physician collaboration; some independent authority permitted depending on scope.

Supervision & the medical director

Not strictly required; physician involvement varies by practice structure.

The exam requirement

Required; in-person or telehealth permitted.

What to verify in North Dakota

Verify scope of practice for NP/PA staff and ensure compliance with delegation protocols; consult with ND Medical Board on specific practice structure.

Primary source: ND Medical Board; ND 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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