Individual
MR. JACOB TAFT MALONE
Active
Individual
MR. JACOB TAFT MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
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
Update your record
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