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

Yes, under physician delegation and supervision; must follow delegation protocol NP/PA may inject under physician collaboration; independent practice not permitted for injections

Michigan · Moderate

Can RNs and Nurse Practitioners Inject Botox in Michigan?

Nurses do most of the injecting in this industry — but Michigan 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; must follow delegation protocol

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice not permitted for injections

Supervision & the medical director

Required for RN/LPN injectors; physician oversight mandatory

The exam requirement

Required; in-person or telehealth permitted with physician oversight

What to verify in Michigan

Document physician delegation agreements for all RN/NP/PA injectors and maintain clear medical director oversight.

Primary source: Michigan Medical Board; Michigan Board of Nursing

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

See the full Michigan regulation profile →

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