If you make a name change it will not be processed until we receive appropriate documentation in our office. You may FAX to (334) 293-5201 attn: Carol or email to firstname.lastname@example.org : a copy of marriage certificate, divorce decree (which states the name change in the decree),or probate court records reflecting a legal name change.
For proper identification, please include your nursing license number or social security number on all documents faxed, emailed, or mailed to us.
NOTE: If a Duplicate License card is needed you must pay the $25.00 fee under the Request for Duplicate License in order to receive a new card.
Nurses may now make address changes online. Please keep your most current mailing address on file. After making your change, please allow our system to update the next business day after 9am.