Registered nurses (RNs)
Yes, under physician delegation and supervision; scope defined by board
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice limited
Supervision & the medical director
Required for RN/LPN injectors; physician oversight mandatory
The exam requirement
Required; in-person preferred, telehealth varies by board interpretation
What to verify in Arkansas
Establish a formal medical director agreement and written delegation protocols before RNs perform any injections.
Primary source: Arkansas Medical Board; Arkansas Board of Nursing
General business information for Arkansas medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Arkansas board (and your own counsel) before you act.