Healthcare Provider Details

I. General information

NPI: 1912820242
Provider Name (Legal Business Name): KARENT GRESBRINK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

919 SHINGLE RD
CHATTANOOGA TN
37409-1135
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-7754
  • Fax:
Mailing address:
  • Phone: 423-802-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1600838
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: