Individual
MR. JACOB TAFT MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
6151 S YALE AVE STE 100A, TULSA, OK 74136-1929
(918) 494-8500
(918) 307-5578
Mailing address
6502 S YALE AVE STE 3410, TULSA, OK 74136-8329
(918) 499-4855
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0109525
OK
Other
Enumeration date
01/20/2022
Last updated
01/27/2026
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