Nicole Azaan, CFMP, ACNSRSAPP - Psychologist in Jacksonville, NC

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Nicole Azaan, CFMP, ACNSRSAPP is a Psychologist - Cognitive & Behavioral physician based in Jacksonville, North Carolina. Nicole Azaan is licensed to practice in North Carolina (license number AP-ETMD-2026-FA9CCS) and her current practice location is 2015 Gum Branch Rd Apt 405, Jacksonville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (646) 450-1448.

NPI number for Nicole Azaan is 1437620986 and her current mailing address is 2015 Countrymens Ct Unit 51, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437620986.

Contact Information

Nicole Azaan, CFMP, ACNSRSAPP
2015 Gum Branch Rd Apt 405,
Jacksonville, NC 28540-4601
(646) 450-1448
(208) 978-5210

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Physician's Profile

Full NameNicole Azaan
GenderFemale
SpecialityPsychologist - Cognitive & Behavioral
Location2015 Gum Branch Rd Apt 405, Jacksonville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437620986
  • Provider Enumeration Date: 12/10/2018
  • Last Update Date: 06/22/2026

Medical Identifiers

Medical identifiers for Nicole Azaan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437620986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology AP-CNSR-2026-6T863R (North Carolina)Secondary
103TB0200XPsychologist - Cognitive & Behavioral AP-ETMD-2026-FA9CCS (North Carolina)Primary
202D00000XIntegrative Medicine AP-FMMD-2026-IC3W4T (North Carolina)Secondary
202D00000XIntegrative Medicine AP-FMCC-2026-D21Z3N (North Carolina)Secondary
1744G0900XSpecialist - Graphics Designer (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Azaan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Azaan, CFMP, ACNSRSAPP
2015 Countrymens Ct Unit 51,
Charlotte, NC 28210-6691

Ph: (646) 450-1448		Nicole Azaan, CFMP, ACNSRSAPP
2015 Gum Branch Rd Apt 405,
Jacksonville, NC 28540-4601

Ph: (646) 450-1448

Reviews and Comments



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