Individual
NICOLE AZAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 GUM BRANCH RD APT 405, JACKSONVILLE, NC 28540-4601
(646) 450-1448
(208) 978-5210
Mailing address
2015 COUNTRYMENS CT UNIT 51, CHARLOTTE, NC 28210-6691
(646) 450-1448
(208) 978-5210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
AP-ETMD-2026-FA9CCS
NC
103TH0100X
Health Service Psychologist
VA-CBCP-2022-NA
NC
174400000X
Specialist
—
—
1744G0900X
Graphics Designer
—
—
202D00000X
Integrative Medicine Physician
AP-FMCC-2026-D21Z3N
NC
202D00000X
Integrative Medicine Physician
AP-FMMD-2026-IC3W4T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19009728
NATIONAL PROVIDER NUMBER
NC
Enumeration date
12/10/2018
Last updated
05/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us