Board of Nursing - Change in Name and/or Contact Information

PR Home » Nursing Board's Home

Change in Name and/or Contact Information

Please provide the Missouri State Board of Nursing with any change in your name and/or address. Please use the form below to report name and address changes and/or remove address(es) from your record and click submit. Only the licensee should change information on this site. By entering information on this site, you are representing that you are the person whose information is being changed. Only submit this information if you have a Missouri license or pending application. If you are relocating to Missouri from another compact state, you must apply for a license in Missouri by endorsement. See https://www.ncsbn.org/public-files/2018_Moving_Scenarios_Factsheet.pdf for further information.

If you have a Missouri multistate license and change your address to another state, you will no longer have a multistate license. That is because you must have a Missouri primary residence to obtain/maintain a Missouri multistate license. If you are moving to another compact state and wish to maintain a multistate license, you need to obtain a multistate license in your new primary residence state PRIOR to submitting your address change to our office. You are required to apply for a multistate license in your new primary state of residence within 60 days of your relocation.

Name as it appears on your license
*
*
*
*
Required Contact Information
*
*
Change of Last Name
New Primary Address: (Physical address required, PO Boxes are not acceptable)
New Mailing Address: (Only required if your mailing address is different that your primary address)
Remove the Following Address from my Record:
*
*