Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Azaan, CFMP, ACNSRSAPP

Individual provider Clinical Neurophysiology Physician · NPI 1437620986

Nicole Azaan, CFMP, ACNSRSAPP is a Clinical Neurophysiology Physician in Jacksonville, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
Specialties on file
5

Practice location Address checks out

2015 Gum Branch Rd Apt 405
Jacksonville, NC 28540-4601
Phone: (646) 450-1448
Fax: (208) 978-5210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2015 Countrymens Ct Unit 51, Charlotte, NC 28210-6691 — (646) 450-1448
  • 1107 Hays Ln, Jacksonville, NC 28546-9347 — (646) 450-1448

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence AP-ETMD-2026-FA9CCS (NC)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence AP-CNSR-2026-6T863R (NC)
Integrative Medicine Physician Taxonomy 202D00000X · Licence AP-FMMD-2026-IC3W4T (NC)
Integrative Medicine Physician Taxonomy 202D00000X · Licence AP-FMCC-2026-D21Z3N (NC)
Graphics Designer Taxonomy 1744G0900X

Record details

NPI number1437620986
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFMP , ACNSRSAPP
Sole proprietorYes
NPI enumeratedDecember 10, 2018
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026