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Lori Jordan Back, FNP-C
Family Nurse Practitioner in St Petersburg, Florida
NPI 1639934102

Lori Jordan Back is a Family Nurse Practitioner based in St Petersburg, FL and is specialized in Family. Lori Jordan Back practices in St Petersburg, FL and has the professional credentials of FNP-C. The NPI Number for Lori Jordan Back is 1639934102 and holds a License No. 11031278 (Florida).

The current practice location address for Lori Jordan Back is 5880 49Th St N Unit N-201, St Petersburg, FL and can be reached out via phone at 727-300-0405.

Location: 5880 49Th St N Unit N-201, St Petersburg, FL, 33709-2150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639934102
Provider Name
Lori Jordan Back
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5880 49Th St N Unit N-201, St Petersburg, FL, 33709-2150
Phone Number
727-300-0405
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5880 49Th St N Unit N-201
City
St Petersburg
State
Florida
Zip
33709-2150
Phone Number
727-300-0405
Fax Number
person
Provider Business Mailing Address Details
Address
5880 49Th St N Unit N-201
City
St Petersburg
State
Florida
Zip
33709-2150
Phone Number
727-300-0405
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11031278 (Florida)
Definition
Definition to come...
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