HEALTH RI
***FOR OFFICE USE ONLY*** Eligible to Test NCRC with Fingerprints Yes No Retake? Yes No Receipt # ID # Issue Date License # Rhode Island Board of Nurse Registration and Nursing Education Room 105 3 Capitol Hill Providence, RI 02908-5097 Instructions and Application For License As A Registered Nurse Licensed Practical Nurse By Examination Applicant - Print Name (First/MI/Last) *Do Not Hand Deliver - Application Must Be Mailed* Phone: (401) 222-5700 TTY/TDD: (800) 745-5555 Fax: (401) 222-3352 Revised MoreInstructions and Application For. License Less
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