Can registered nurses and nurse practitioners inject Botox and fillers in Tennessee?

Yes, under physician supervision and delegation; specific protocols required NP/PA may inject under physician collaboration; independent practice limited

Tennessee · Moderate

Can RNs and Nurse Practitioners Inject Botox in Tennessee?

Nurses do most of the injecting in this industry — but Tennessee 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 supervision and delegation; specific protocols required

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice limited

Supervision & the medical director

Required for facilities with non-physician injectors

The exam requirement

Required; in-person exam generally required, telehealth varies by board interpretation

What to verify in Tennessee

Obtain written protocols from the Tennessee Medical Board regarding RN injection authority and ensure a qualified medical director oversees all aesthetic procedures.

Primary source: Tennessee Medical Board; Tennessee Board of Nursing

General business information for Tennessee medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Tennessee board (and your own counsel) before you act.

See the full Tennessee regulation profile →

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