North Carolina scope of practice for med spas
Who may perform which procedures, and under what supervision, by state. Below are the North Carolina rules that govern it, each linked to its primary source.
RN / NP scope for injectables in North Carolina
North Carolina answers the injector question directly rather than by inference. Chemical peels, sclerotherapy, micropigmentation, light treatments, microdermabrasion, laser hair removal and neuromodulator and dermal filler injections are all inside a licensed nurse’s scope — on conditions.
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
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
North Carolina names the permitted combinations for a professional corporation: a physician and a physician assistant may co-own one, and a physician may co-own with a nurse practitioner, a psychiatric/mental health clinical nurse specialist or a certified nurse midwife. The section is an enumeration of what is allowed — a combination it does not list is simply not authorized by it.
N.C. Gen. Stat. §55B-14(c)(3) and (c)(5) · verified Sep 1, 2026
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MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director.