Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jupiter Canyon Telehealth PLLC

Organization Primary Care Nurse Practitioner · NPI 1033074273

Jupiter Canyon Telehealth PLLC provides Primary Care Nurse Practitioner services in Glendale, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6219 W Altadena Ave
Glendale, AZ 85304-3203
Phone: (623) 745-1251
Fax: (808) 673-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1033074273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley McKendall — Managing Member · (623) 745-1251
NPI enumeratedDecember 19, 2025
Last updated in NPPESJune 13, 2026
Certification dateJune 13, 2026
Mailing address5830 W Thunderbird Rd Ste B8, Glendale, AZ 85306-4655

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