Provider Demographics
NPI:1831065564
Name:JUST LEAN ON ME, LLC
Entity type:Organization
Organization Name:JUST LEAN ON ME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:318-334-1235
Mailing Address - Street 1:202 MILFORD ST APT 123
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4649
Mailing Address - Country:US
Mailing Address - Phone:662-401-9890
Mailing Address - Fax:
Practice Address - Street 1:202 MILFORD ST APT 123
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4649
Practice Address - Country:US
Practice Address - Phone:662-401-9890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty