Organization Active NPI

Nanjo Group LLC - Devine Mobile Clinic

  • Family Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1306750815
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NANJO GROUP LLC - DEVINE MOBILE CLINIC
Practice address
703 Wildel Ave
New Castle, DE 19720-6146
Phone
(302) 379-7760
Fax
(833) 468-5180
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Mbabe Nanjo-Allicock
Title
DNP, FNP-C
Phone
(302) 379-7760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

703 Wildel Ave
New Castle, DE 19720-6146

Mailing address

703 Wildel Ave
New Castle, DE 19720-6146
Phone (302) 379-7760

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1306750815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 WILDEL AVE",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197206146",
            "telephone_number": "302-379-7760",
            "fax_number": "833-468-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 WILDEL AVE",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197206146",
            "telephone_number": "302-379-7760",
            "fax_number": "833-468-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANJO GROUP LLC - DEVINE MOBILE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "NANJO-ALLICOCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MBABE",
        "authorized_official_title_or_position": "DNP, FNP-C",
        "authorized_official_telephone_number": "302-379-7760"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.