Healthcare Provider Details

I. General information

NPI: 1497050116
Provider Name (Legal Business Name): JENNIFER LOUISE TALBERT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5133 S CAMPBELL AVE STE 102
SPRINGFIELD MO
65810-2437
US

IV. Provider business mailing address

5133 S CAMPBELL AVE STE 102
SPRINGFIELD MO
65810-2437
US

V. Phone/Fax

Practice location:
  • Phone: 417-538-6420
  • Fax:
Mailing address:
  • Phone: 417-538-6420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR2148
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5919
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025011095
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: