Individual provider · Type 1 NPI

Chanel Lawanda Willis, MD

Family Medicine Physician · Fredericksburg, VA

NPI number 1487359188 Active

Practice location

130 Executive Center Pkwy
Fredericksburg, VA 22401-3100

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940

Other practice locations

  • 10510 Jefferson Ave Ste B, Newport News, VA 23601-3102 · (757) 594-3800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X0101284697 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 other providers at this address

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About NPI 1487359188

Chanel Lawanda Willis, MD's National Provider Identifier is 1487359188, issued on Apr 3, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fredericksburg, VA. The record was last updated on Aug 21, 2026.