| Doctor Name: | MRS. JODIE XAVIER PLOUFFE |
| NPI Number: | 1316974165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 1648 |
| Business Practice Address: | 100 Rosebrook Way Southcoast Physician Services, Inc. 3rd Floor Wareham, MA - 025712097 |
| Business Phone Number: | 5082734900 |
| Business Fax Number: | 5082734901 |
| Mailing Address: | 370 Faunce Corner Road, Southcoast Physician Services, Inc. NORTH DARTMOUTH |
| State: | MA |
| Postal Code: | 027471271 |
| Phone Number: | 5089852000 |
| Fax Number: | 5089852001 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 1648 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |