Request Name or Address Change
This section is provided for a North Carolina licensed nurse to submit a request for a name or address change. 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.
Access the Name Change Application or Address Change Application located under My Profile on the Nurse Gateway.
Submit legal documentation* supporting your name change to the North Carolina Board of Nursing.
*Examples of a 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
North Carolina Board of Nursing
P.O. Box 2129
Raleigh NC 27602-2129
: (919) 781-9461
Attn. Customer Service
Allow 5-10 business days from the date you submitted your request for processing.