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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

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

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

Mail, email, or fax your supporting documentation to: 

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 27-May-2020

North Carolina Board of Nursing

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