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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. Select 'Request Name Change' or 'Request Address Change' in the My Profile dropdown
  3. Complete application

*Examples of supporting legal documentation include:

  • Social Security Card
  • Court Record
  • Birth Certificate
  • Marriage License
  • Driver's License
  • Voter Registration
  • Federal Income Tax Return

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

changes@ncbon.com

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

Nurse Gateway

Last Changed 7-Aug-2020

North Carolina Board of Nursing

Protect the public by regulating the practice of nursing.
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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