Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Michelle Wilson-Lucero, EDS, NCSP

Individual provider School Psychologist · NPI 1023622321

Jessica Michelle Wilson-Lucero, EDS, NCSP is a School Psychologist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020
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Practice location Address checks out

395 1/2 Willard Ave
Pocatello, ID 83201-4524
Phone: (208) 240-4063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X (ID)

Record details

NPI number1023622321
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , NCSP
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

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