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

Shawn Dale Willis, FNP-BC

Individual provider Nurse Practitioner · NPI 1265985550

Shawn Dale Willis, FNP-BC is a Nurse Practitioner in Chapmanville, West Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

67 Vickers Branch Rd
Chapmanville, WV 25508-9716
Phone: (304) 855-1959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 Enterprise Dr, Logan, WV 25601-3750 — (304) 752-0183

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN66325-FNP-BC (WV)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN66325-FNP-BC (WV)

Record details

NPI number1265985550
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedAugust 3, 2016
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024