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RALPH JACKSON
NPI 1720107675
Licensed Practical Nurse in Syracuse, NY

Active since March 29, 2007
813 FAY RD, SYRACUSE, NY 13219(315) 488-2831 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ralph Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALPH JACKSON (NPI 1720107675) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (265882) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720107675
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameRALPH JACKSON
Location Address813 FAY RDSyracuse, NY 13219-3009
Mailing AddressPo Box 494, SyracuseSyracuse, NY 13201-0494
Phone(315) 488-2831
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720107675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 265882
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
813 FAY RD, Syracuse, NY 13219
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN A WIERZBICKI
Licensed Practical Nurse
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2831
MR. KEVIN BARTHELMES PTA
Physical Therapy Assistant
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2951
MS. JANELLE LYNN TAUZEL OTRL
Occupational Therapist
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2951
MARYELLEN ELIZABETH WOLFE
Registered Nurse (Community Health)
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2831
ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY
Case Management
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2951
THERESA STANTON
Respiratory Therapist, Registered
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 703-0785
HELEN F MIERZWA OCCUPATIONAL THERAPI
Occupational Therapist
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2831
LISA ANN SMITH MSOTR/L
Occupational Therapist
813 FAY RD
SYRACUSE, NY 13219
Onondaga County (315) 488-2951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Jackson's NPI number?

The NPI number for Ralph Jackson is 1720107675. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Ralph Jackson located?

Ralph Jackson practices at 813 Fay Rd, Syracuse, NY 13219. The listed phone number is (315) 488-2831.

What is Ralph Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ralph Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.