Can a nurse practitioner treat without a supervising physician in North Carolina?
Who treats · part of The Practice Perimeter
It is within the scope of practice of a licensed nurse (RN and LPN) to perform cosmetic and aesthetic dermatological procedures — expressly including neuromodulator and dermal filler injections, chemical peels, sclerotherapy, micropigmentation, light treatments, microdermabrasion and laser for aesthetics and hair removal — when prescribed or ordered by a physician, nurse practitioner, physician assistant or other practitioner with prescriptive authority acting within their legal scope.
NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022) · verified Aug 17, 2026 · regulatory monitoring, not legal advice
The rest of what North Carolina says on this
Every other rule we have verified under rn / np scope for injectables, each linked to its primary source.
The nurse must have documented knowledge, skill and competency to carry out the procedure safely, and the employing agency’s cosmetic procedure and emergency policies must be available in the facility. Nurses are accountable for practicing within the scope of their highest level of active licensure.
NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022); 21 NCAC 36.0224, 36.0225 · verified Aug 17, 2026
A physician assistant may co-own a professional corporation with a physician, and a nurse practitioner, psychiatric nursing specialist or nurse midwife may co-own one with a physician. LPNs are not authorized to own a professional nursing business in whole or in part under North Carolina law.
N.C. Gen. Stat. §55B-14(c); NC Board of Nursing Cosmetic/Aesthetic Procedures Position Statement (rev. 9/2022) · verified Aug 17, 2026
How other states answer this
All 6 states side by side →Related North Carolina questions
- Can a registered nurse inject Botox or filler in North Carolina?
- Can a physician assistant inject or prescribe in North Carolina?
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← All North Carolina rules and changes · Med Spa Radar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).