JACOB TAFT MALONE

TULSA, OK
NPI1851043947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OK  R0109525)
Enumeration Date2022-01-20
Last Update Date2022-12-01
Business Address
Mr. JACOB TAFT MALONE APRN-CNP
6151 S YALE AVE STE 100A
TULSA, OK 74136-1929
Phone number: 918-494-8500
Mailing Address
Mr. JACOB TAFT MALONE APRN-CNP
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number: 918-499-4855
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