MEDICARE: ASPIRE NURSING CONSULTANTS, INC.

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	251J00000X	Nursing Care Agency	731716	CA

General Provider Information

NPI Number	:	1104310853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE NURSING CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	407 N PACIFIC COAST HWY STE 508
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-2872
Country	:	US
Telephone Number	:	310-736-0489
Fax Number	:	310-347-4376

Provider Business Practice Location Address
First Line	:	407 N PACIFIC COAST HWY STE 508
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-2872
Country	:	US
Telephone Number	:	310-736-0489
Fax Number	:	310-347-4376

Authorized Official
Title or Position	:	NURSE PRACTITIONER / PRESIDENT
Name	:	JACQUELINE DENISE WILLIAMS
Credential	:	WHNP-BC
Telephone Number	:	310-736-0489

Provider Enumeration Date	:	06/17/2018
Last Update Date	:	11/10/2024

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