CONNIE EDELEN MD - NPI 1063620722 - Family Medicine in Jacksonville, FL

Q: What is Connie Edelen's NPI number?

The NPI number for Connie Edelen is 1063620722. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Connie Edelen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Q: When was this NPI record last updated?

The NPPES record for Connie Edelen was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Connie Edelen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE EDELEN MD (NPI 1063620722) is an individual hospice and palliative medicine provider in Jacksonville, Florida, licensed in Florida (ME134775) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063620722

Entity TypeIndividualFemale

Primary Taxonomy207QH0002X

Provider Legal NameCONNIE EDELENCredential: MD

Location Address4266 SUNBEAM RDJacksonville, FL 32257-2425

Mailing Address4266 Sunbeam RdJacksonville, FL 32257-2425 · (904) 407-7700 · Fax (904) 407-6001

Phone(904) 407-7700

Fax(904) 407-6001

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateMay 8, 20192 updates tracked since enumeration

✔ NPI 1063620722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

Licenses✔ Licensed in FL · ME134775✔ Licensed in NC · 2010-00028

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116018187 (VA)

4266 SUNBEAM RD, Jacksonville, FL 32257

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANA A SANCHEZ MD

Family Medicine