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Request Name or Address Change

Completion will change your name or address in the North Carolina Board of Nursing records.

Request Name Change or Address Change
Access the Nurse Gateway
  • Log in to your profile. Please keep your Username and Password in a secure location as you will need this information to access your Nurse Gateway profile.
  • For security reasons, please logout and exit your web browser when you are finished accessing services that require authentication. The North Carolina Board of Nursing cannot be held responsible for unauthorized access to the information you have entered in the browser if you do not exit this application.
Complete Online Application
  • Apply for Name Change or Address Change with the North Carolina Board of Nursing.
  • To request a name change or address change, access your Nurse Gateway profile and select 'Request Name Change' or 'Request Address Change' located under My Profile.
      Legal Documentation

      Submit legal documentation* supporting your name change to the North Carolina Board of Nursing.

      *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

      Sending to the Board of Nursing

      Mailing address:

      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 24-Aug-2018

      North Carolina Board of Nursing

      Protect the public by regulating the practice 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