1. Home
  2. Directory
  3. Tennessee
  4. Cordova
  5. Nurse Practitioner
  6. NPI Profile

AVERY LYNETTE DALE PMHNP
NPI 1154809796
Nurse Practitioner - Psychiatric/Mental Health in Cordova, TN

Active since August 06, 2018
65 GERMANTOWN CT STE 402, CORDOVA, TN 38018(901) 752-4900(901) 752-4902 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2020, Aug 6, 2018 (2 updates tracked since 2018).

About Avery Lynette Dale Pmhnp NPPES

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

AVERY LYNETTE DALE PMHNP (NPI 1154809796) is an individual psychiatric/mental health provider in Cordova, Tennessee, licensed in Tennessee (24777) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1154809796
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAVERY LYNETTE DALECredential: PMHNP
Location Address65 GERMANTOWN CT STE 402Cordova, TN 38018-4275
Mailing Address65 Germantown Ct Ste 402Cordova, TN 38018-4275 · (901) 752-4900 · Fax (901) 752-4902
Phone(901) 752-4900
Fax(901) 752-4902
Sole ProprietorYes
Enumeration DateAugust 6, 2018
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
✔ NPI 1154809796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 24777
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 118022 (TN)
65 GERMANTOWN CT STE 402, Cordova, TN 38018
Open in Google Maps ↗

Other Identifiers 2

Other118022TN · Nursing License
Other24777TN · Advance Practice Registered Nurse

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMILLIA HADDIX DNP
Nurse Practitioner (Family)
65 GERMANTOWN CT STE 402
CORDOVA, TN 38018
Shelby County (901) 752-4900
MELANIE ANON DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
65 GERMANTOWN CT STE 402
CORDOVA, TN 38018
Shelby County (901) 752-4900
LINDSAY FREEMAN MA
Counselor (Mental Health)
65 GERMANTOWN CT STE 402
CORDOVA, TN 38018
Shelby County (901) 752-4900
DR. JIM PANG JR. M.D.
Psychiatry & Neurology (Psychiatry)
65 GERMANTOWN CT STE 402
CORDOVA, TN 38018
Shelby County (901) 752-4900
TRISTAN MCKENZIE P.HD., LPC-MHSP, NCC
Counselor (Mental Health)
65 GERMANTOWN CT STE 402
CORDOVA, TN 38018
Shelby County (901) 752-4900

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 Avery Dale's NPI number?

The NPI number for Avery Dale is 1154809796. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Avery Dale located?

Avery Dale practices at 65 Germantown Ct Ste 402, Cordova, TN 38018. The listed phone number is (901) 752-4900.

What is Avery Dale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Avery Dale was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.