NPI 1205417722

Jim Jaralene Porquez Banno, MD

Practitioner Family Medicine Physician Kenansville, NC

Practice location

Address: 748 Kenansville Byp, Kenansville, NC 28349-9064
Phone: (910) 296-8080
Mailing address: 2100 Stantonsburg Rd, Greenville, NC 27834-2818

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2024-00756 (NC)

Other Family Medicine providers in North Carolina →

Registry record

NPI: 1205417722
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2021
Record last updated: 19 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.