Healthcare Provider Details

I. General information

NPI: 1124954862
Provider Name (Legal Business Name): JESSE JAMES MS, RD, LDN, CNSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-8542
US

IV. Provider business mailing address

328 CROSS TIMBERS DR
NASHVILLE TN
37221-1825
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-5564
  • Fax: 615-435-5575
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3114
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: