| Doctor Name: | JENNIFER CHRISTA PIMENTEL |
| NPI Number: | 1003095183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, CPNP |
| License Number: | R0081020 |
| Business Practice Address: | 6565 S Yale Ave Ste 209 Tulsa, OK - 741368303 |
| Business Phone Number: | 9183924550 |
| Business Fax Number: | 9183924551 |
| Mailing Address: | 6565 S Yale Ave Ste 209, TULSA |
| State: | OK |
| Postal Code: | 741368303 |
| Phone Number: | 9183924550 |
| Fax Number: | 9183924551 |
| NPI Enumeration Date: | 10/25/2007 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R0081020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |