Individual provider · Type 1 NPI

Katelynn Jackson

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Cheyenne, WY

NPI number 1649032533 Active

Practice location

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Call (307) 778-7550 Map

Mailing address

6503 Faith Dr Unit 310
Cheyenne, WY 82009-2799

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X7062 (SD)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1649032533

Katelynn Jackson's National Provider Identifier is 1649032533, issued on Jan 25, 2024. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Cheyenne, WY. The record was last updated on Aug 25, 2025.