Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720107675 Individual Practitioner Male Practitioner

Ralph Jackson

Licensed Practical Nurse • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Ralph Jackson is a registered healthcare professional specializing in Licensed Practical Nurse in Syracuse, NY. Practice services are available at 813 FAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

813 Fay Rd

Syracuse, NY 132193009

Telephone 3154882831
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
493 Specialists

Practicing in Syracuse, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 265882

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Karen Wierzbicki

Licensed Practical Nurse

NPI 1003063686
Maryellen Wolfe

Registered Nurse - Community Health

NPI 1043467681
Mary Rupracht

Registered Nurse - Home Health

NPI 1073632923
NPI 1083747422

OCCUPATIONALTHERAPI

Betty Andrews

Registered Nurse - Home Health

NPI 1114046612
Evette Baum

Licensed Practical Nurse

NPI 1114049947

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 813 FAY RD, SYRACUSE, NY 132193009 (Tel: 3154882831)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 494, SYRACUSE, SYRACUSE, NY 132010494

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #265882 in NY)

🟢
Initial NPI Registration & Enumeration March 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720107675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 494, Syracuse

Syracuse, NY 132010494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.