Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Rochelle Poruban

Individual provider Nurse Practitioner · NPI 1750965034

Jordan Rochelle Poruban is a Nurse Practitioner in Portage, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021

Practice location Address checks out

223 Lee St
Portage, PA 15946-1114
Phone: (814) 418-7399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP023570 (PA)

Record details

NPI number1750965034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2021
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare