Nicole Azaan, CFMP, ACNSRSAPP
Specialty details in registry · Jacksonville, NC
At a glance
2015 Gum Branch Rd Apt 405, Jacksonville, NC 28540-4601
NPPES record updated Jun 22, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2015 Gum Branch Rd Apt 405Jacksonville, NC 28540-4601
Additional reported practice locations
2015 Countrymens Ct Unit 51Charlotte, NC 282106691
Phone: 6464501448 1107 Hays Ln
Jacksonville, NC 285469347
Phone: 6464501448
Education & affiliations
No matching clinician background record in the imported CMS release.
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103TB0200X
- Enumeration date
- Dec 10, 2018
- Record updated
- Jun 22, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- CFMP, ACNSRSAPP
Reported taxonomies and licenses
2084N0600X
License reported: AP-CNSR-2026-6T863R NC
103TB0200X · Primary
License reported: AP-ETMD-2026-FA9CCS NC
202D00000X
License reported: AP-FMMD-2026-IC3W4T NC
202D00000X
License reported: AP-FMCC-2026-D21Z3N NC
1744G0900X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2015 Gum Branch Rd Apt 405Jacksonville, NC 28540-4601
- Phone
- (646) 450-1448
- Fax
- (208) 978-5210
Mailing address
2015 COUNTRYMENS CT UNIT 51CHARLOTTE, NC 282106691
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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