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JUPITER CANYON TELEHEALTH PLLC
NPI 1033074273
Nurse Practitioner - Primary Care in Glendale, AZ

Active since December 19, 2025
6219 W ALTADENA AVE, GLENDALE, AZ 85304(623) 745-1251(808) 673-0171 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jupiter Canyon Telehealth Pllc NPPES

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

JUPITER CANYON TELEHEALTH PLLC (NPI 1033074273) is a healthcare organization registered as a primary care in Glendale, Arizona and active in the NPI registry since December 2025. The organization lists Ashley Mckendall, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1033074273
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameJUPITER CANYON TELEHEALTH PLLC
Location Address6219 W ALTADENA AVEGlendale, AZ 85304-3203
Mailing Address5830 W Thunderbird Rd Ste B8Glendale, AZ 85306-4655 · (623) 745-1251 · Fax (623) 745-1251
Phone(623) 745-1251
Fax(808) 673-0171
Organization SubpartNo
Authorized OfficialAshley MckendallManaging Member · (623) 745-1251
Enumeration DateDecember 19, 2025
Last NPPES UpdateJune 13, 2026
NPPES CertifiedJune 13, 2026
✔ NPI 1033074273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
6219 W ALTADENA AVE, Glendale, AZ 85304
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jupiter Canyon Telehealth PLLC's NPI number?

The NPI number for Jupiter Canyon Telehealth PLLC is 1033074273. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Jupiter Canyon Telehealth PLLC located?

Jupiter Canyon Telehealth PLLC is located at 6219 W Altadena Ave, Glendale, AZ 85304. The listed phone number is (623) 745-1251.

What is Jupiter Canyon Telehealth PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jupiter Canyon Telehealth PLLC was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.