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

Yes, RN may inject under physician delegation and supervision NP/PA may inject under physician collaboration; independent practice limited

Tennessee · Moderate

Can RNs and Nurse Practitioners Inject Botox in Tennessee?

Nurses do most of the injecting in this industry — but Tennessee 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, RN may inject under physician delegation and supervision

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice limited

Supervision & the medical director

Required for facilities with delegated injectors; physician oversight mandatory

The exam requirement

Required; in-person exam before treatment

What to verify in Tennessee

Ensure a physician medical director is formally designated and that all delegation agreements comply with TN Medical Board and Board of Nursing standards.

Primary source: TN Medical Board, TN Board of Nursing

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

See the full Tennessee regulation profile →

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