Individual
NASTASYA JABALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3802
Mailing address
13740 PENWITH CT, CHANTILLY, VA 20151-3437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-14617
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276461001
—
AR
Enumeration date
04/13/2019
Last updated
04/03/2023
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