Individual provider · Type 1 NPI

Jaquan Jamak Conway

Community Health Worker · Fort Wayne, IN

NPI number 1689515306 Active

Practice location

6030 E State Blvd
Fort Wayne, IN 46815-7639

Call (260) 452-0554 Map

Fax (260) 246-6374

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1689515306

Jaquan Jamak Conway's National Provider Identifier is 1689515306, issued on Apr 6, 2026. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 6, 2026.