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

Jaclyn Losty

Individual provider Pediatric Nurse Practitioner · NPI 1669993168

Jaclyn Losty is a Pediatric Nurse Practitioner in Shelby Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

15125 22 Mile Rd
Shelby Twp, MI 48315-4406
Phone: (586) 532-0599
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704285720 (MI)

Record details

NPI number1669993168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address2922 Birchena Cres, West Bloomfield, MI 48324-2104

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