IndividualActive
Jacob Ratliff, LPN
NPI 1407545239 · Licensed Vocational Nurse · Copenhagen, NY
Provider details
- NPI number
- 1407545239
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 344965 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
714 Phalen Dr Apt a
Copenhagen, NY 13626-3116
Phone: (315) 886-4692
Approximate (ZIP-level) locationGet directions
Mailing address
714 Phalen Dr Apt a
Copenhagen, NY 13626-3116
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-05-08
- Certified
- 2023-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.