LORI JORDAN BACK

ST PETERSBURG, FL
NPI1639934102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11031278)
Enumeration Date2024-02-14
Last Update Date2024-02-14
Business Address
LORI JORDAN BACK FNP-C
5880 49TH ST N UNIT N-201
ST PETERSBURG, FL 33709-2150
Phone number: 727-300-0405
Mailing Address
LORI JORDAN BACK FNP-C
5880 49TH ST N # N-201
ST PETERSBURG, FL 33709-2150
Phone number: 727-213-6744
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