To have your name changed you must submit an official name change document such as a marriage certificate or divorce decree. Please include your nursing license number with your request.
Social security cards are NOT acceptable. You can send the documentation to:
- Fax: 317-233-4236 Attn: Nursing Group
- Email: pla2@pla.in.gov
- Address: IPLA
Attn: Nursing
402 West Washington St., Rm. W072
Indianapolis, IN 46204
Once your name has been updated you can purchase a new license card here: https://mylicense.in.gov/ Login ID: LPN or RN license number
Password: Last 4 digits of your social security number
Social security cards are NOT acceptable. You can send the documentation to:
- Fax: 317-233-4236 Attn: Nursing Group
- Email: pla2@pla.in.gov
- Address: IPLA
Attn: Nursing
402 West Washington St., Rm. W072
Indianapolis, IN 46204
Once your name has been updated you can purchase a new license card here: https://mylicense.in.gov/ Login ID: LPN or RN license number
Password: Last 4 digits of your social security number