Healthcare Provider Details

I. General information

NPI: 1003212119
Provider Name (Legal Business Name): JOHN-PAUL JAMES PH.D., D.MIN., DACBN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOHN-PAUL JAMES PH.D., D.MIN., DACBN

II. Dates (important events)

Enumeration Date: 11/17/2014
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 EISENHOWER AVE
ALEXANDRIA VA
22314-5204
US

IV. Provider business mailing address

9135 PISCATAWAY RD
CLINTON MD
20735-2549
US

V. Phone/Fax

Practice location:
  • Phone: 240-383-4800
  • Fax: 240-846-1533
Mailing address:
  • Phone: 240-383-4800
  • Fax: 240-846-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number2180
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: