NPI 1063002053
Jessica K Wilbur, PSYDLP
Practice location
- Address
- 11850 Blackfoot St NW STE 405, Coon Rapids, MN 55433-2773
- Phone
- (763) 236-0888
- Mailing address
- 2925 Chicago Ave, Minneapolis, MN 55407-1321
Registered specialties (2)
Psychologist
Primary
Mental Health Counselor
Registry record
- NPI
- 1063002053
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2021
- Record last updated
- 14 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.