Open a Medspa — 50-State Guide

How to open a medspa as a nurse practitioner — every state.

The legal, structural, and market path for an NP-owned aesthetic practice in your state. Built from state-board guidance + the 27-year, three-practice playbook of Faisal Darwiche, NP.

Full Practice (27 states + DC)

NP solo ownership is the cleanest path. No career-long collaborating physician.

Reduced Practice (12 states)

Collaborating physician required. MSO/PC structure is the standard path.

Restricted Practice (10 states)

Physician supervision required. MSO/PC structure is the only viable path for NP ownership.

Pick your state

Alabama
AL
Alaska
AK
Arizona
AZ
Arkansas
AR
California
CA
Colorado
CO
Connecticut
CT
Delaware
DE
Florida
FL
Georgia
GA
Hawaii
HI
Idaho
ID
Illinois
IL
Indiana
IN
Iowa
IA
Kansas
KS
Kentucky
KY
Louisiana
LA
Maine
ME
Maryland
MD
Massachusetts
MA
Michigan
MI
Minnesota
MN
Mississippi
MS
Missouri
MO
Montana
MT
Nebraska
NE
Nevada
NV
New Hampshire
NH
New Jersey
NJ
New Mexico
NM
New York
NY
North Carolina
NC
North Dakota
ND
Ohio
OH
Oklahoma
OK
Oregon
OR
Pennsylvania
PA
Rhode Island
RI
South Carolina
SC
South Dakota
SD
Tennessee
TN
Texas
TX
Utah
UT
Vermont
VT
Virginia
VA
Washington
WA
Washington, D.C.
DC
West Virginia
WV
Wisconsin
WI
Wyoming
WY

Get your state-specific 90-day roadmap.

The free 17-question assessment returns a state-specific 90-day launch plan: entity, supplier sequence, build sequence, and the exact next action for your scenario. 7 minutes. No card.

Take the assessment →

General guidance only. Not legal advice. Verify with your state nursing board and counsel.

Online training does not constitute hands-on clinical certification.

Sources: AANP State Practice Environment (Updated: 05/2026) + each state board of nursing. Verified 2026-05-13.