Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jane Favot, NP

Individual provider Gerontology Nurse Practitioner · NPI 1043246564

Mary Jane Favot, NP is a Gerontology Nurse Practitioner in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

15400 Michigan Ave Ste One
Dearborn, MI 48126-3491
Phone: (313) 584-3359
Fax: (313) 584-1729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 109477 (MI)

Record details

NPI number1043246564
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESOctober 6, 2009

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