Individual
JEEVANTHA NANAYAKKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP -BC
Contact information
Practice address
3201 S AUSTIN AVE STE 265, GEORGETOWN, TX 78626-7641
(512) 717-5077
(512) 713-0844
Mailing address
3201 S AUSTIN AVE STE 265, GEORGETOWN, TX 78626-7641
(512) 717-5077
(512) 713-0844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1026821
TX
Other
Enumeration date
07/05/2023
Last updated
03/03/2026
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