Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677 As part of the “My TMB” system integration, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. Board of Nursing DSPS … Check for Pending Rules. 1740 W Adams Street, Suite 2000 Phoenix, AZ 85007 Monday – Friday from 8:00am – 5:00pm, AZ Time. File a Complaint. Name Change Information. Phone: 602-771-7800 Online Licensing Services. Orders and Disciplinary Actions. Source Note: The provisions of this §217.7 adopted to be effective September 1, 1999, 24 TexReg 4001; … There are several ways to change your name and/or address: 1. Now available – online Change of Address . Nashville, TN 37243 . If you need information regarding applying, renewing, testing, requesting a duplicate permit, or a change of name or address, you may contact us at: Texas Health and Human Services Medication Aide Program Mail Code E-416 P.O. The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure, current licensees the opportunity to renew their license, and licensees, employers and the general public the opportunity to conduct searches of licensed professionals via our secure PALS website. A-Z Profession List. Using the form as your guide, e-mail the information to us at . Texas Department of Insurance 333 Guadalupe, Austin TX 78701 | P.O. To update your mailing or practice address online click the link below, and create a “My TMB” account if you do not have one already. All licensees/applicants wishing to change their name with the Board must submit their request using the Nursing Name Change Form. Monitoring. Follow the instructions on the form when the required information is submitted. [email protected]. Pursuant to 18 VAC 90-19-50 (B) a copy of one of the following documents must accompany a name change request: Applicants: If you change your name and/or address of record after submitting an application for licensure, you must notify the Board immediately in order to receive current information. Print, complete, and mail the form to: Board of (specify the name of your board) 665 Mainstream Drive . Arizona State Board of Nursing. Licensee Profile Update (change email, address, or name) Related Links. Box 149030 Austin, TX 78714-9030 Phone: 512-438-2025 Fax: 512-438-2052 2. (b) A nurse/applicant for licensure shall notify the board in writing within 10 days of a change of address, providing the new address and his or her license number. Professional Assistance Procedure. or the below email address … Phone:(225)755-7500 Fax:(225)755-7584 E-mail:[email protected] Office Hours:8:30 AM - 5:00 PM According to 244 CMR 9.00: Standard of Conduct, within 30 days of a legal name change, you must update the Board. The Texas Administrative Code 217.7 states that all nurses/applicants for licensure shall notify the board in writing within ten days of a change of name and or address by submitting a legal document reflecting this name change and/or providing the new address with his or her license number. Contact. Name Change/Change in Address of Record.