Mary Jane Holbrook, NP
Nurse Practitioner, Psych/Mental Health in Saginaw, MI. Individual provider (NPI-1).
NPI number1508205451
StatusActive
Last updated in NPPESApr 4, 2018
Details
- NPI
- 1508205451
- Entity type
- Individual (NPI-1)
- Name
- Mary Jane Holbrook
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2013
- Last updated
- Apr 4, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 4704275288 | MI | Yes |
Practice location
1000 Houghton AveSaginaw, MI 48602-5303
Phone 989-583-6800 · Fax 989-583-6915
Mailing address
1000 Houghton AveSaginaw, MI 48602-5303
Phone 989-583-6800 · Fax 989-583-6915
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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