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

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

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

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

Supervision & the medical director

Required for medical spa operations

The exam requirement

Required; in-person preferred, telehealth varies by board interpretation

What to verify in West Virginia

Confirm medical director requirements and delegation protocols with the West Virginia Medical Board before launch.

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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