Who can inject
MD/DO, NP/PA with physician collaboration, RN under physician delegation.
Registered nurses (RNs)
Yes, under physician delegation; North Dakota permits broad RN scope in medical aesthetics.
Nurse practitioners & physician assistants
NP/PA may inject with physician collaboration; some independent authority permitted depending on practice agreement.
The exam that makes it legal
Required; in-person or telehealth exam permitted before treatment. A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
What to verify in North Dakota
Establish a clear collaboration or delegation agreement with a physician and document telehealth or in-person exam protocols.
Primary source: North Dakota Medical Board / Board of Nursing
General business information for North Dakota medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the North Dakota board (and your own counsel) before you act.