Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanel Lawanda Willis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487359188

Chanel Lawanda Willis, MD is a Family Practice in Newport News, Virginia. Qualified in 2022, 4 years ago. Registered with an NPI since 2023.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10510 Jefferson Ave Ste B
Newport News, VA 23601-3102
Phone: (757) 594-3800
Fax: (757) 591-9021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1487359188
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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