MEDICARE: JUST4ME LLC

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	291U00000X	Clinical Medical Laboratory
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1063377570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST4ME LLC

Provider Business Mailing Address
First Line	:	7373 VALLEY VIEW LN APT 3032
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5593
Country	:	US
Telephone Number	:	888-651-3854
Fax Number	:

Provider Business Practice Location Address
First Line	:	7373 VALLEY VIEW LN APT 3032
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5593
Country	:	US
Telephone Number	:	888-651-3854
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NIKOLE WILLET
Credential	:
Telephone Number	:	929-410-5754

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	02/05/2026

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Directions to “JUST4ME LLC ” Practice Location

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