Can an RN own a medical spa in Tennessee?

An RN cannot own a medical spa independently. Non-physician ownership is permitted only through an MSO structure with a Tennessee-licensed physician as medical director who maintains clinical oversight.

Can an RN inject Botox or fillers in Tennessee?

Yes, an RN may inject neurotoxins and fillers under physician delegation and supervision. The supervising physician must have a collaborative agreement with the RN and be available to oversee treatment.

Is a good-faith exam required before the first treatment?

Yes, an in-person good-faith exam by the supervising physician is required before any injectable treatment. Telehealth exams are not permitted for the initial visit.

State Regulation TrackerModerate

Medical Spa Laws in Tennessee

Tennessee requires a licensed physician medical director for all medical spa operations involving injectables. RNs, NPs, and PAs may inject under physician supervision and delegation, but independent practice is not permitted. Non-physician ownership is allowed through an MSO structure, provided a physician maintains clinical oversight. The state does not mandate injector-specific training beyond licensure, but the medical director must document all procedures and maintain clinical responsibility.

By Evan at Inside MedSpa · Updated continuously

Orientation, not legal advice. Tennessee's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the Tennessee boards or healthcare counsel before you act.

Common questions about Tennessee med-spa law

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