Registered nurses (RNs)
No, or only under very limited circumstances; varies by board interpretation — verify with counsel
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration/supervision; independent practice not permitted
Supervision & the medical director
Required; physician must oversee all aesthetic procedures and injections
The exam requirement
Required; in-person exam mandatory before treatment
What to verify in Pennsylvania
Consult Pennsylvania Medical Board counsel on RN injection authority before hiring; ensure physician ownership or controlling interest in the medical spa entity.
Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing
General business information for Pennsylvania medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Pennsylvania board (and your own counsel) before you act.