Individual provider · Type 1 NPI

Jaclyn Losty

Pediatric Nurse Practitioner · Shelby Township, MI

NPI number 1669993168 Active

Practice location

15125 22 Mile Rd
Shelby Township, MI 48315-4406

Mailing address

2922 Birchena Cres
West Bloomfield, MI 48324-2104

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704285720 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669993168

Jaclyn Losty's National Provider Identifier is 1669993168, issued on Jul 5, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Shelby Township, MI. The record was last updated on Jan 26, 2022.