Individual provider · Type 1 NPI

Jenna Boutilier

Specialist · Baldwinsville, NY

NPI number 1013825587 Active

Practice location

8282 Willett Pkwy
Baldwinsville, NY 13027-1306

Call (315) 857-0800 Map

Mailing address

3224 Far Reach Dr
Baldwinsville, NY 13027-1511

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2079090261 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

25 other providers at this address

Other specialist providers in Baldwinsville

See all in Baldwinsville →

About NPI 1013825587

Jenna Boutilier's National Provider Identifier is 1013825587, issued on Aug 27, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baldwinsville, NY. The record was last updated on Aug 27, 2026.