Organization · Type 2 NPI

B & G Wellness Inc

Family Nurse Practitioner · Dexter, MI

NPI number 1962017780 Active

Practice location

4848 Gregory Rd Ste A
Dexter, MI 48130-9628

Fax (949) 543-2300

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Family Nurse Practitioner: Definition to come...

NPI record

NPI: 1962017780
Entity type: Organization (Type 2)
Issued: Sep 9, 2020
Last updated: Jan 28, 2023
Status: Active

Other names

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B & G Clinical Services Inc · former legal business name
B & G Clinical Services Inc · former legal business name

Authorized official

Julie Bumpus
Owner
(734) 730-8445

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962017780

B & G Wellness Inc's National Provider Identifier is 1962017780, issued on Sep 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dexter, MI. The record was last updated on Jan 28, 2023.