Completion will change your name or address in the North Carolina Board of Nursing records.
In accordance with the Nurse Licensure Compact, change of address may affect the practice privilege for your North Carolina nursing license.
Submission
Submission
How to submit...
- Access the Nurse Portal to Request a Name Change or an Address Change
- In the top right-hand corner, select Profile Name
- Select 'Request Name Change' or 'Request Address Change' dropdown
- Complete application
Submit legal documentation* supporting your name change to the North Carolina Board of Nursing
Submit legal documentation* supporting your name change to the North Carolina Board of Nursing
*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)
Note: Do not submit the original document.
Mail, email, or fax your supporting documentation
Mail, email, or fax your supporting documentation
Customer Service
North Carolina Board of Nursing
P.O. Box 2129
Raleigh NC 27602-2129
Fax: (919) 781-9461 (Attn. Customer Service)
Email: changes@ncbon.com
Note: Allow 5-10 business days from the date you submitted your request for processing.