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Ralph Jackson
Licensed Practical Nurse in Syracuse, New York
NPI 1720107675

Ralph Jackson is a Licensed Practical Nurse based in Syracuse, NY. Ralph Jackson practices in Syracuse, NY. The NPI Number for Ralph Jackson is 1720107675 and holds a License No. 265882 (New York).

The current practice location address for Ralph Jackson is 813 Fay Rd, Syracuse, NY and can be reached out via phone at 315-488-2831. You can also correspond with Ralph Jackson through the mailing address at PO BOX 494, SYRACUSE, NY - 13201-0494 (mailing address contact number: ).

Location: 813 Fay Rd, Syracuse, NY, 13201-0494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720107675
Provider Name
Ralph Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
813 Fay Rd, Syracuse, NY, 13201-0494
Phone Number
315-488-2831
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
813 Fay Rd
City
Syracuse
State
New York
Zip
13219-3009
Phone Number
315-488-2831
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 494
City
Syracuse
State
New York
Zip
13201-0494
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
265882 (New York)
Definition
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.
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