Individual
JORDAN ROCHELLE PORUBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 LEE ST, PORTAGE, PA 15946-1114
(814) 418-7399
Mailing address
223 LEE ST, PORTAGE, PA 15946-1114
(814) 418-7399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023570
PA
Other
Enumeration date
05/12/2021
Last updated
11/22/2021
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