AVERY LYNETTE DALE PMHNP NPI 1154809796

NPI Information

  • NPI: 1154809796
  • Provider Name: AVERY LYNETTE DALE, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 65 GERMANTOWN CT STE 402
    CORDOVA, TN
    ZIP 38018
  • Phone: (901) 752-4900

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NPI Details

Avery Lynette Dale, PMHNP is a psychiatric/mental health nurse practitioner in Cordova, TN. Avery Lynette Dale, PMHNP NPI is 1154809796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

65 GERMANTOWN CT STE 402
CORDOVA, TN
ZIP 38018-275
Phone: (901) 752-4900
Fax: (901) 752-4902

The enumeration date for this NPI number is 8/6/2018 and was last updated on 2/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health118022TENNESSEENo
2363LP0808XNurse PractitionerPsychiatric/Mental Health24777TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1118022OTHERTENNESSEENURSING LICENSE
224777OTHERTENNESSEEADVANCE PRACTICE REGISTERED NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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