MEDICARE: EVIDENT ALTERNATIVES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1396614970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVIDENT ALTERNATIVES LLC

Provider Business Mailing Address
First Line	:	199 W PETTY LN
Second Line	:
City	:	WINCHESTER
State	:	TN
Zip	:	37398-1128
Country	:	US
Telephone Number	:	360-470-1448
Fax Number	:	360-470-1448

Provider Business Practice Location Address
First Line	:	199 W PETTY LN
Second Line	:
City	:	WINCHESTER
State	:	TN
Zip	:	37398-1128
Country	:	US
Telephone Number	:	360-470-1448
Fax Number	:	360-470-1448

Authorized Official
Title or Position	:	OWNER
Name	:	JEAN CARTER
Credential	:	NP
Telephone Number	:	360-470-1448

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	12/10/2025

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Directions to “EVIDENT ALTERNATIVES LLC ” Practice Location

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