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NPI Code Detail

MEDICARE: NICOLE L ROLLINS- LITTLEJOHN CNA

MEDICARE: NICOLE L ROLLINS- LITTLEJOHN CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency403882FL

General Provider Information

NPI Number : 1407718265
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE L ROLLINS- LITTLEJOHN CNA
Provider Business Mailing Address
First Line : 3940 ALLEN AVE
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-7078
Country : US
Telephone Number : 352-283-7400
Fax Number :
Provider Business Practice Location Address
First Line : 1800 PEMBROOK DR STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6378
Country : US
Telephone Number : 352-283-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 04/18/2026

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Directions to “ NICOLE L ROLLINS- LITTLEJOHN CNA” Practice Location

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