Avery Lynette Dale (NPI# 1154809796, PAC ID# 4880947936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154809796 |
| PAC ID by PECOS | 4880947936 |
| Professional Enrollment ID | I20181019001064 |
| Full Name | Avery Lynette Dale |
| Organization Legal Name | JIM PANG MD PLLC |
| Address |
65 Germantown Ct Suite 402 Cordova TN 38018-4275 |
| Phone Number | 9017524900 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688925696 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 | 9017524900 | JIM PANG MD PLLC |
| Organization Legal Name | JIM PANG MD PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camillia Haddix | Nurse Practitioner | Jim Pang Md Pllc | 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 |
| Jim Pang Jr. | Psychiatry | Jim Pang Md Pllc | 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 |
| Chante Smith-steward Fason | Nurse Practitioner | Jim Pang Md Pllc | 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 |
| Street Address |
65 GERMANTOWN CT SUITE 402 |
| City | CORDOVA |
| State | TN |
| Zip | 38018-4275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camillia Haddix | Nurse Practitioner | Jim Pang Md Pllc | 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 |
| Jim Pang Jr. | Psychiatry | Jim Pang Md Pllc | 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 |
| Chante Smith-steward Fason | Nurse Practitioner | Jim Pang Md Pllc | 65 Germantown Ct, Suite 402, Cordova, TN 38018-4275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Chu | Dermatology | 520 Trinity Creek Cove, Cordova, TN 38018 | |
| William D Stinson | Obstetrics/gynecology | 315 S Walnut Bend Rd, Cordova, TN 38018-1508 | |
| Brandon Todd | Internal Medicine | Physiotherapy Associates Inc | 7865 Trinity Rd, Suite 108, Cordova, TN 38018-2274 |
| Mary May-dacus | Optometry | Cordova Vision Center | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2274 |
| Luanne Cox | Optometry | Cordova Vision Center | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2274 |
| John C Hyden | Family Medicine | Physiotherapy Associates Inc | 7865 Trinity Rd, Suite 108, Cordova, TN 38018-2274 |
| Charles Arkin | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Huey T Holt Jr. | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Yamini Menon | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Michael D Boatright | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Find all physicians in zip 38018 | |||
| City | CORDOVA |
| Zip Code | 38018 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CORDOVA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Avery Lynette Dale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.