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Physician Assistant
Name and Address Changes
To request an address change, contact Nicole Carnes-Woutzke at (402) 471-2118 or by e-mail at nicole.carneswoutzke@nebraska.gov To change your name on your Licensure Unit record, you must mail a  written request with your notarized signature along with a copy of the legal document verifying name change to:
DHHS, Licensure Unit
Physician Assistants
PO Box 94986
Lincoln NE 68509-4986 |
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