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Contact Information

NICOLE AZAAN
2015 GUM BRANCH RD APT 405
JACKSONVILLE, NC28540-4601
 Phone: 646-450-1448
 Fax: 208-978-5210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Graphics Designer

1744G0900X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for NICOLE AZAAN · (Female)

NPI Number 1437620986
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2018
Last updated 05/11/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NC License # AP-ETMD-2026-FA9CCS
  • NC License # AP-FMCC-2026-D21Z3N
  • NC License # AP-FMMD-2026-IC3W4T
  • NC License # VA-CBCP-2022-NA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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