Aesthetic NP — 50-State Matrix

NP scope of practice — every state, plain English.

Where you can own an aesthetic practice solo. Where a collaborative agreement is required. Where the MSO/PC structure is the only path. Sourced from the AANP State Practice Environment and every state board of nursing.

Full Practice (30)

NPs may own + operate solo. No career-long collaborative agreement.

Reduced Practice (12)

Collaborative agreement with a physician required to prescribe.

Restricted Practice (9)

Physician supervision/delegation required. Solo-owned aesthetic practices typically use MSO/PC.

All 50 states + DC

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

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Educational Use Only. This page is general guidance and is not legal, financial, tax, or medical advice. Verify scope of practice with your state board of nursing and your own licensed counsel before opening or operating a practice. Online training is not a substitute for hands-on clinical certification.

Source: AANP State Practice Environment (aanp.org) Updated: 05/2026 — cross-referenced against each state board of nursing as of 2026-05-12.