Individual
JORDAN S PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
7 OAK HILL TER STE 205, SCARBOROUGH, ME 04074-8996
(866) 679-0831
Mailing address
7 OAK HILL TER STE 205, SCARBOROUGH, ME 04074-8996
(866) 679-0831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP191169
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528087004
—
ME
Enumeration date
07/16/2019
Last updated
07/17/2025
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