OrganizationActive
Jennifer Grune Dnp Fnp-Bc
NPI 1861994626 · Primary Care Clinic/Center · Keaau, HI
Provider details
- NPI number
- 1861994626
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Grune, Ceo/Aprn(808) 333-3450
- License
- APRN-2244 (HI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Phone: (808) 333-3450
Fax: (808) 930-4721
Approximate (ZIP-level) locationGet directions
Mailing address
16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Other names (DBA / former)
- Doing business as
- Park Wellness
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2024-09-04
- Certified
- 2024-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.