Provider Demographics
NPI:1306097969
Name:PALMER, JULIE A (RD, LD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:PALMER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:BOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:471 E DUNEDIN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3807
Mailing Address - Country:US
Mailing Address - Phone:614-706-3495
Mailing Address - Fax:
Practice Address - Street 1:3400 N HIGH ST STE 260
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1142
Practice Address - Country:US
Practice Address - Phone:614-706-3495
Practice Address - Fax:855-771-8942
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6262133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered