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Request Name or Address Change

How to submit...

  1. Access the Nurse Gateway to Request a Name Change or an Address Change
  2. In the top right-hand corner, select Profile Name
  3. Select 'Request Name Change' or 'Request Address Change' dropdown
  4. Complete application

*Examples of supporting legal documentation include:

  • Social Security Card
  • Change of name certificate as issued by a court (Required for any first name change)
  • Birth Certificate
  • Marriage License
  • Divorce document reflecting name change
  • Passport
  • Immigration documents reflecting name change
  • Driver's License
  • Voter Registration (for address only)
  • Federal Income Tax Return (for address only)

Do not submit the original document

Customer Service
North Carolina Board of Nursing
P.O. Box 2129
Raleigh NC 27602-2129

: (919) 781-9461
Attn. Customer Service

[email protected]

Allow 5-10 business days from the date you submitted your request for processing.

Nurse Gateway

Last Changed 11-Jan-2024

North Carolina Board of Nursing

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Contact Information

(919) 782-3211
(919) 781-9461
8 a.m.-5 p.m., Mon-Fri
North Carolina Board of Nursing