Healthcare Provider Details

I. General information

NPI: 1154418218
Provider Name (Legal Business Name): TWELVESTONE MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 W NORTHFIELD BLVD SUITE 3A
MURFREESBORO TN
37129
US

IV. Provider business mailing address

P.O. BOX 12369
MURFREESBORO TN
37129
US

V. Phone/Fax

Practice location:
  • Phone: 844-893-0012
  • Fax: 615-278-3355
Mailing address:
  • Phone: 844-893-0012
  • Fax: 615-278-3355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number2978
License Number StateTN

VIII. Authorized Official

Name: MS. TARA M HARRELSON
Title or Position: MANAGER OF COMPLIANCE AND ACCREDITA
Credential:
Phone: 615-278-3278