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Ralph Jackson
NPI 1720107675 · Licensed Practical Nurse · Syracuse, NY
Ralph Jackson is a Licensed Practical Nurse provider in Syracuse, NY (NPI 1720107675).
Provider details
- NPI number
- 1720107675
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 265882 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
813 Fay Rd
Syracuse, NY 13219-3009
Phone: (315) 488-2831
Street-level locationGet directions
Mailing address
Po Box 494
Syracuse, NY 13201-0494
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Ralph Jackson's NPI number?
- Ralph Jackson's National Provider Identifier (NPI) is 1720107675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ralph Jackson's specialty?
- Ralph Jackson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Ralph Jackson located?
- Ralph Jackson's practice location on file with NPPES is 813 Fay Rd, Syracuse, NY 13219-3009.
- What is Ralph Jackson's phone number?
- The practice phone number listed in the NPPES registry for Ralph Jackson is (315) 488-2831.
- Is Ralph Jackson's NPI active?
- Yes — Ralph Jackson's NPI (1720107675) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.