Can registered nurses and nurse practitioners inject Botox and fillers in West Virginia?

Yes, under physician delegation and supervision Require physician collaboration/supervision for injections

West Virginia · Moderate

Can RNs and Nurse Practitioners Inject Botox in West Virginia?

Nurses do most of the injecting in this industry — but West Virginia 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 and supervision

Nurse practitioners & physician assistants

Require physician collaboration/supervision for injections

Supervision & the medical director

Required for medical spa operations

The exam requirement

Required; in-person exam before treatment

What to verify in West Virginia

Verify medical director credentials and ensure physician supervision protocols are documented for all injector staff.

Primary source: West Virginia Medical Board

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

See the full West Virginia regulation profile →

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