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

Jaquan Jamak Conway

Individual provider Community Health Worker · NPI 1689515306

Jaquan Jamak Conway is a Community Health Worker in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

6030 E State Blvd
Fort Wayne, IN 46815-7639
Phone: (260) 452-0554
Fax: (260) 246-6374
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1689515306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 5, 2026

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