Healthcare Provider Details

I. General information

NPI: 1457265548
Provider Name (Legal Business Name): JULIANN PIERSALL MDN, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 HILL RD N
PICKERINGTON OH
43147-8986
US

IV. Provider business mailing address

1136 FOREST GLEN RD
WESTERVILLE OH
43081-3225
US

V. Phone/Fax

Practice location:
  • Phone: 614-863-1858
  • Fax:
Mailing address:
  • Phone: 614-715-0195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.11968
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: