Who can inject
MD/DO, NP/PA independently or with collaboration, RN under delegation.
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.
The exam that makes it legal
Required; in-person or telehealth permitted. A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
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.