Healthcare Provider Details

I. General information

NPI: 1265343578
Provider Name (Legal Business Name): VITAL BALANCE HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 S CARAWAY RD STE A1
JONESBORO AR
72401-7336
US

IV. Provider business mailing address

2404 RACE ST PO BOX 19395
JONESBORO AR
72403-7700
US

V. Phone/Fax

Practice location:
  • Phone: 870-926-5710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA GAMBLE
Title or Position: APRN
Credential: APRN
Phone: 870-243-2807