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

Yes, under physician delegation; scope defined by facility protocol and board guidance NP/PA may inject with physician collaboration; independent practice varies by context

Delaware · Moderate

Can RNs and Nurse Practitioners Inject Botox in Delaware?

Nurses do most of the injecting in this industry — but Delaware 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; scope defined by facility protocol and board guidance

Nurse practitioners & physician assistants

NP/PA may inject with physician collaboration; independent practice varies by context

Supervision & the medical director

Required for medical spa operations

The exam requirement

Required; in-person exam generally required

What to verify in Delaware

Contact the Delaware Board of Medical Licensure and Discipline to clarify telehealth GFE rules and delegation scope before finalizing your operational model.

Primary source: Delaware Board of Medical Licensure and Discipline, Delaware Board of Nursing

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

See the full Delaware regulation profile →

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