DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JIM JARALENE PORQUEZ BANNO, M.D.

Active

DR. JIM JARALENE PORQUEZ BANNO, M.D. is a Family Medicine healthcare provider located in KENANSVILLE, North Carolina. NPI 1205417722 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KENANSVILLE, NC

Registration Details

NPI Number
1205417722
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2021 (5.3218667753395 yrs)
Last Updated
Mar 19, 2025
License
2024-00756 (NC)

Practice Information

Address
748 KENANSVILLE BYP
KENANSVILLE, NC, 283499064
Browse NC providers · Browse ZIP 28349
Phone
9102968080
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in KENANSVILLE, NC

Name Credential NPI
DR. VINCENT KILMER CHEEK M.D. 1205804986
MS. KIMBERLY MICHELLE BIICHLE M.D 1003228628
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.