Licensure follows the patient
The location that matters for telehealth is generally the patient’s, not yours. Sitting in one state and caring for a patient in U.S. Virgin Islands generally means you need authority to practice in U.S. Virgin Islands — via compact privilege or a U.S. Virgin Islands license. See telehealth: patient in another state.
The law that governs this in U.S. Virgin Islands
Caring for a patient located in U.S. Virgin Islands is practice in U.S. Virgin Islands, so it is U.S. Virgin Islands’s own nurse practice act that defines what you may do and the Virgin Islands Board of Nurse Licensure that applies it. That act is Virgin Islands Board of Nurse Licensure — licensing authority and requirements.
U.S. Virgin Islands has adopted the compact, but we have not confirmed which section of its code carries it, so we do not cite one — several states replaced an earlier compact and the superseded sections still circulate. The practice act above is the citation we have read.
Compact status is not the only consideration
Even where a multistate license reaches U.S. Virgin Islands, your employer and the Virgin Islands Board of Nurse Licensure may impose additional requirements, and some roles carry their own rules. Compact status answers one question — it is not a blanket authorization to practice remotely.
APRN telehealth is separate
The compact covers RN and LPN/LVN licenses only. If you work as an APRN, your advanced-practice authority is granted state by state and is not carried by a multistate RN license — a point that catches out a lot of remote NP roles.
Why compact privilege does not reach U.S. Virgin Islands
U.S. Virgin Islands has enacted the compact (December 6, 2021) but has not finished implementing it, so privilege is not active here yet. Either way the practical answer for caring for patients located in U.S. Virgin Islands is the same today: a multistate license from another state does not authorize it, and you generally need a U.S. Virgin Islands license from the Virgin Islands Board of Nurse Licensure. Re-check before a start date rather than assuming — this is precisely the fact that changes.