Individual
DR. NANELLE LAVINIA JONES-SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1119 E MONTE VISTA AVE, VACAVILLE, CA 95688-3009
(707) 469-4540
Mailing address
218 SANTA CRUZ CT, VACAVILLE, CA 95688-3559
(707) 685-2061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G64660
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G64660
CA
Other
Enumeration date
11/20/2006
Last updated
06/08/2020
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