Training & certification expected
No state-mandated injector training beyond licensure; manufacturer training recommended.
The license that lets you inject
MD/DO, NP/PA under physician supervision, RN under physician delegation.
If you’re an RN
Yes, under physician delegation; specific protocols and supervision requirements vary by board interpretation.
Why the order still matters
Required; in-person exam generally expected before treatment. Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.
What to verify in North Carolina
Establish a written delegation agreement with a supervising physician and document all protocols for RN/NP/PA injector oversight.
Primary source: North Carolina Medical Board / Board of Nursing
General business information for North Carolina medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the North Carolina board (and your own counsel) before you act.