Healthcare Provider Details

I. General information

NPI: 1124940705
Provider Name (Legal Business Name): JASMINE BRAUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 S LINDENWOOD DR
OLATHE KS
66062-2334
US

IV. Provider business mailing address

1032 S LINDENWOOD DR
OLATHE KS
66062-2334
US

V. Phone/Fax

Practice location:
  • Phone: 913-210-4683
  • Fax:
Mailing address:
  • Phone: 913-210-4683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number21A-00031
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number21-00093
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: