NANJO GROUP LLC - DEVINE MOBILE CLINIC NPI 1306750815

NPI Information

  • NPI: 1306750815
  • Provider Name: NANJO GROUP LLC - DEVINE MOBILE CLINIC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 703 WILDEL AVE
    NEW CASTLE, DE
    ZIP 19720
  • Phone: (302) 379-7760

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NPI Details

NANJO GROUP LLC - DEVINE MOBILE CLINIC is a family nurse practitioner in New Castle, DE. NANJO GROUP LLC - DEVINE MOBILE CLINIC NPI is 1306750815. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

703 WILDEL AVE
NEW CASTLE, DE
ZIP 19720-146
Phone: (302) 379-7760
Fax: (833) 468-5180

The provider's authorized official is Mary Mbabe Nanjo-allicock .
The authorized official title is Dnp, Fnp-c and has the following contact phone number (302) 379-7760.

The enumeration date for this NPI number is 10/1/2026 and was last updated on 10/1/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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