Individual
VANESSA RENEE JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 STONY POINT RD STE 210, SANTA ROSA, CA 95401-4118
(707) 890-3800
Mailing address
110 STONY POINT RD STE 210, SANTA ROSA, CA 95401-4118
(707) 890-3800
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/10/2023
Last updated
11/10/2025
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