Healthcare Provider Details

I. General information

NPI: 1457476921
Provider Name (Legal Business Name): JEFFREY S EDELMAN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 COLONIAL DR
HELENA MT
59601-4926
US

IV. Provider business mailing address

2755 COLONIAL DR
HELENA MT
59601-4926
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-7500
  • Fax: 406-884-2085
Mailing address:
  • Phone: 406-444-7500
  • Fax: 406-884-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number242242
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: