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

Lori Jordan Back, FNP-C

Individual provider Family Nurse Practitioner · NPI 1639934102

Lori Jordan Back, FNP-C is a Family Nurse Practitioner in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5880 49th St N Unit N-201
St Petersburg, FL 33709-2150
Phone: (727) 300-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11031278 (FL)

Record details

NPI number1639934102
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

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