MEDICARE: FEBE JANSE VAN RENSBURG AGACNP

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
1	363L00000X	Nurse Practitioner	1226952	TX

General Provider Information

NPI Number	:	1619828266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEBE JANSE VAN RENSBURG AGACNP

Provider Business Mailing Address
First Line	:	1626 BELVEDERE PL
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-5658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 MEDICAL ARTS ST STE 18
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3376
Country	:	US
Telephone Number	:	512-551-3490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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