Provider Demographics
NPI:1295625762
Name:ROLLINS, ABIGAIL JANE (PA-C)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JANE
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1225
Mailing Address - Country:US
Mailing Address - Phone:828-551-2890
Mailing Address - Fax:
Practice Address - Street 1:4925 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-1225
Practice Address - Country:US
Practice Address - Phone:828-551-2890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.009274RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant