Can a Nurse Own a Med Spa? Laws by State Explained.

Wondering if a nurse can legally open a med spa? Here’s a breakdown of ownership laws, scope of practice, and how nurses can launch their own aesthetic business, state by state.

Can a Nurse Open a Med Spa?

Short answer: Yes! In many cases, nurses can open and operate a med spa.
Long answer? It depends on your state, your credentials, and your business model.

Whether you're an RN, NP, or CRNA dreaming of opening your own aesthetics practice, here's what you need to know before taking the leap.

1. Know Your Title and What It Legally Allows

Your nursing credentials determine your level of authority in a med spa setting.

Registered Nurse (RN)

  • Can provide aesthetic treatments (like injectables) under physician supervision

  • Cannot typically own a med spa independently in most states

Nurse Practitioner (NP)

  • In many states, practitioners can practice independently and may own a med spa.

  • In “full practice authority” states, you don’t need a supervising physician.

CRNAs or Advanced Practice Nurses

  • Ownership potential varies based on specialty and state laws

The fastest path to med spa ownership is usually as an NP in a full-practice state.

2. Understand Medical Spa Ownership Laws by State

Each state has its version of the “Corporate Practice of Medicine” doctrine.
Some allow non-physicians to own or co-own medical practices. Others restrict ownership to MDs or DOs only.

Here are a few examples:

  • Texas: NPs can own if working in collaboration with a physician

  • California: Only physicians can own med spas, but nurses can own a management company

  • Florida: Allows NPs to own med spas with certain restrictions

We always recommend consulting a healthcare attorney who is familiar with the laws of your state.

3. Structure Your Business Strategically

If you're in a state where nurses can’t own a medical spa directly, you still have options.

Common models include:

MSO (Management Services Organization)
You own the business that provides administrative, marketing, and staffing services, but a licensed physician owns the clinical side.

Collaborative Agreements
You partner with a physician, but retain control over branding, marketing, and client experience.

Medical Director Model
A supervising physician reviews treatment plans and protocols but isn’t involved in day-to-day operations.

4. What You Can Own as a Nurse

Even if you can’t own the medical component, you can still own:

  • The brand

  • The facility

  • The staffing and admin structure

  • The marketing and retail revenue

    This gives you real control over operations and growth, without violating healthcare laws. Ready to explore opening a medspa? Start with an expert Med Spa Consultant to turn your dream into a reality.

5. Resources to Get You Started

Launching a med spa involves more than just legal paperwork. You’ll need:

  • A comprehensive business plan

  • Startup capital and financial projections

  • A strong brand and visual identity

  • A scalable marketing and CRM system

  • An experienced medical director or collaborator

Need help building a compliant, beautiful, and profitable med spa?

Ready to launch your spa? [Book a Strategy Call]

Alexis Ufland

Alexis has spent over 25 years shaping the global spa, beauty, and wellness industry, helping launch some of the most successful spa concepts across Europe, Asia, and the U.S. She’s the founder of LEXI DESIGN and SPA SOCIAL, where she combines strategic expertise with creative vision to help brands innovate, grow, and deliver exceptional client experiences.

https://www.lexidesign.com/
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How to Open a Med Spa in Texas: Legal Checklist

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