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

Miss Reproductive Medicine PLLC

Organization Reproductive Endocrinology Physician · NPI 1396059093

Miss Reproductive Medicine PLLC is a Reproductive Endocrinology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1040 River Oaks Dr
Jackson, MS 39232-9530
Phone: (601) 936-3650
Fax: (866) 491-0274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence 12123 (MS)

Record details

NPI number1396059093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Hines — Owner · (601) 936-3650
NPI enumeratedAugust 5, 2010
Last updated in NPPESAugust 5, 2010
Mailing address1040 River Oaks Dr, Jackson, MS 39232-9530

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