Organization · Type 2 NPI
Jupiter Canyon Telehealth PLLC
Primary Care Nurse Practitioner · Glendale, AZ
NPI number
1033074273
Active
Practice location
6219 W Altadena Ave
Glendale, AZ 85304-3203
Fax (808) 673-0171
Mailing address
5830 W Thunderbird Rd Ste B8
Glendale, AZ 85306-4655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1033074273
Jupiter Canyon Telehealth PLLC's National Provider Identifier is 1033074273, issued on Dec 19, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Glendale, AZ. The record was last updated on Jun 13, 2026.