Provider Demographics
NPI:1558978445
Name:GRAENING, JOCELYN (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:
Last Name:GRAENING
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:DR
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:KERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPS
Mailing Address - Street 1:2650 NOVATION PKWY
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3399
Mailing Address - Country:US
Mailing Address - Phone:608-471-4707
Mailing Address - Fax:
Practice Address - Street 1:2650 NOVATION PKWY
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53713-3399
Practice Address - Country:US
Practice Address - Phone:608-471-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16827-40183500000X
WI31309871835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Yes183500000XPharmacy Service ProvidersPharmacist