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Jacob Bly
NPI 1972183846 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4755 Olgetown Staton Rd
Newark, DE 19718 - Phone
- (302) 733-1043
Additional practice sites
- 114 E South Hills Dr, Maryville, MO
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 390200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware