Training & certification expected

No state-mandated injector training beyond licensure.

The license that lets you inject

MD/DO, NP/PA with or without physician supervision (varies by setting), RN under physician delegation.

If you’re an RN

Yes, under physician delegation; RN may inject with standing orders from a supervising physician.

Why the order still matters

Required; in-person or telehealth allowed. Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

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 →