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

Mrs. Lane Gray Wagnon, NP

Individual provider Adult Health Nurse Practitioner · NPI 1871756395

Mrs. Lane Gray Wagnon, NP is a Nurse Practitioner in Conway, Arkansas. Qualified in 2005, 21 years ago. Practices with Conway Regional Medical Center Inc, a 130-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
21
Licensed in
AR
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

525 Western Ave Ste 202
Conway, AR 72034-4967
Phone: (501) 513-5337
Fax: (501) 513-5338
Show map & directions

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

Additional practice locations (1)

  • 7 Medical Ln Ste C, Conway, AR 72034-4918 — (501) 358-6432

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence A02902 (AR)

Record details

NPI number1871756395
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Conway Regional Medical Center Inc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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