Jordan Rochelle Poruban
NPI #1750965034 in Portage, Pennsylvania
Provider Information
- NPI Number
- 1750965034
- Entity Type
- Individual
- Name
- Jordan Rochelle Poruban
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 12, 2021
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- 223 LEE ST
- City
- Portage
- State
- Pennsylvania
- ZIP Code
- 15946-1114
- Phone
- (814) 418-7399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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