Healthcare Provider Details

I. General information

NPI: 1134066376
Provider Name (Legal Business Name): NUVACARE FAMILY MEDICINE & OBSTETRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N GERMANTOWN PKWY STE 1
CORDOVA TN
38016-5893
US

IV. Provider business mailing address

1150 N GERMANTOWN PKWY STE 1
CORDOVA TN
38016-5893
US

V. Phone/Fax

Practice location:
  • Phone: 901-247-7705
  • Fax:
Mailing address:
  • Phone: 901-247-7705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. AXEL JAVIER OJEDA
Title or Position: OWNER
Credential: MD
Phone: 901-247-7705