Who can inject
MD/DO, NP/PA with or without physician supervision (varies by setting), RN under physician delegation.
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.
The exam that makes it legal
Required; in-person or telehealth allowed. 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 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.