Individual provider · Type 1 NPI

Jerico Pimentel, CPNP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1376776955 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-2500 Map

Fax (682) 885-2510

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	674453 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376776955

Jerico Pimentel, CPNP's National Provider Identifier is 1376776955, issued on Aug 28, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 28, 2026.