Training & certification expected

No state-mandated injector training beyond licensure.

The license that lets you inject

MD, DO, NP, PA, RN under physician supervision

If you’re an RN

Yes, under physician delegation; specific scope defined by board rules

Why the order still matters

Required; in-person exam by physician before treatment Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

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 →