| Doctor Name: | MS. MOLLY ELIZABETH WHITLEDGE |
| NPI Number: | 1104057934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 1101254 |
| Business Practice Address: | 650 Joel Dr Fort Campbell, KY - 422235318 |
| Business Phone Number: | 2707988422 |
| Business Fax Number: | 2709560222 |
| Mailing Address: | 650 Joel Dr, FORT CAMPBELL |
| State: | KY |
| Postal Code: | 422235318 |
| Phone Number: | 2707988422 |
| Fax Number: | 2709560222 |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0100X |
| License Number: | 1101254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gastroenterology |
| Taxonomy Definition: | |