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

Mr. Clarence Hughes Wagoner Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1235126400

Mr. Clarence Hughes Wagoner Jr., CRNA is a Certified Registered Nurse Anesthetist in Kenansville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

401 N Main St
Kenansville, NC 28349-0278
Phone: (910) 296-2608
Fax: (910) 296-1174
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 059528 (NC)

Record details

NPI number1235126400
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESAugust 24, 2009