IndividualActive
Jaquan Conway
NPI 1689515306 · Community Health Worker · Fort Wayne, IN
Provider details
- NPI number
- 1689515306
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
6030 E State Blvd
Fort Wayne, IN 46815-7639
Phone: (260) 452-0554
Fax: (260) 246-6374
Approximate (ZIP-level) locationGet directions
Mailing address
6030 E State Blvd
Fort Wayne, IN 46815-7639
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.