Living in Tennessee, working in Virginia
Can a Tennessee nurse work in Virginia?
If your primary state of residence is Tennessee and you hold an active multistate license from Tennessee, you may generally practice in Virginia under compact privilege — without applying for a separate Virginia license.
Tennessee vs Virginia at a glance
| Tennessee (home) | Virginia (work) | |
|---|---|---|
| Compact status | Compact | Compact |
| Multistate license for residents | Yes | Yes |
| Compact nurses can practice here | Yes | Yes |
| Board of nursing | Tennessee board ↗ | Virginia board ↗ |
Status shown as of 2026-06-17. Compact law changes — confirm anything that affects your license with the state board.
Recommended next step
Verify that your Tennessee license is multistate in Nursys, then review any Virginia-specific requirements with the Virginia Board of Nursing.
Verify before you rely on this
Whether you can practice comes down to your actual license type, not just the two states’ status. Look your license up on Nursys to confirm it is single-state or multistate, then check Virginia’s current requirements with the Virginia Board of Nursing.
Tennessee and Virginia share a border
Both are on the same side of the compact, so crossing this particular border does not change your licensure position the way it would at a compact seam. The usual cross-border questions still apply — where you actually reside, and which state each employer sits in.
Where each license is actually checked
These two states do not verify the same way, and the difference matters at different moments: Tennessee is what you will be asked to produce, Virginia is what an employer there will run.
Your home state
Tennessee
Tennessee Department of Health licensure verification ↗Tennessee has designated Nursys a primary-source equivalent, so either is acceptable for license status — but the state system additionally returns disciplinary profile and abuse-registry data that a Nursys lookup does not, which matters if you are credentialing rather than just confirming a license.
Where you want to work
Virginia
Virginia DHP License Lookup ↗Two things employers should know. Virginia states outright that this lookup IS primary-source verification of the credential and meets Joint Commission requirements — few boards commit to that in writing, and it means a printed result can stand as the file copy. But the free tier is RATE-LIMITED, and it is sized for occasional individual checks. Run a batch of hires through it and you will hit an error that looks like a broken system or a missing nurse; it is neither. Volume users are expected to take the subscription or the bulk license-database download. Covers all 62 professions DHP regulates, not just nursing.
How long each has been part of this
Both Tennessee and Virginia began recognizing compact privilege in 2018. A pairing of two states that arrived together is the simplest case there is: neither has a transitional quirk the other lacks.
The law behind each side
Compact privilege is not a courtesy between states — it is each legislature having enacted the compact into its own code. These are the provisions that do it.
Your home state
Tennessee
Tennessee has enacted the compact, but we have not yet confirmed the exact citation against the state’s own published code. We would rather say that than print a section number we cannot stand behind.
Scope is set separately. What you may actually do here comes from T.C.A. tit. 63, ch. 7 (Nursing); RNs at §§ 63-7-103, -104, LPNs at §§ 63-7-108, -109 ↗.
Where you want to work
Virginia
Va. Code tit. 54.1, ch. 30, art. 6.1 (§ 54.1-3040.2 et seq.) ↗Virginia codifies the compact as its own article within the nursing chapter, so the compact text sits alongside the nurse practice act rather than in a separate title.
Scope is set separately. What you may actually do here comes from Va. Code tit. 54.1, ch. 30 (Nursing) ↗.
Things to keep in mind
- Compact privilege only applies if your license is multistate, not single-state. Check this in Nursys.
- You must meet Virginia's practice requirements (for example, scope of practice and any continuing-education rules).
- APRN roles are generally not covered by the standard compact — APRNs usually need separate authorization in each state.
Frequently asked questions
Related pages
Sources & last reviewed
- NLC frequently asked questions— NCSBN / NurseCompact (nursecompact.com)
Covers multistate licenses, primary state of residence, the 60-day rule, telehealth, and license type coverage.
- NLC member states map & status— NCSBN / NurseCompact (nursecompact.com)
Identifies full members, partial implementation (Guam), and enacted/awaiting implementation (Massachusetts, U.S. Virgin Islands).
- Nursys QuickConfirm license verification— NCSBN / Nursys (nursys.com)
Recommended destination to verify whether a license is single-state or multistate.
Facts on this page were last reviewed against official sources on 2026-06-17. Compact law changes — always verify with your state board of nursing.