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

Yes, under physician delegation; specific scope defined by board rules NP/PA may inject under collaborative agreement with physician; independent practice not permitted

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 delegation; specific scope defined by board rules

Nurse practitioners & physician assistants

NP/PA may inject under collaborative agreement with physician; independent practice not permitted

Supervision & the medical director

Required; physician must oversee all injectable procedures

The exam requirement

Required; in-person exam by physician before treatment

What to verify in Tennessee

Ensure a Tennessee-licensed physician medical director is in place and that all RN/NP/PA injectors have signed collaborative agreements or delegation protocols.

Primary source: Tennessee Medical Board and 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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