Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Miss Reproductive Medicine PLLC

Organization Reproductive Endocrinology Physician · NPI 1396059093

Miss Reproductive Medicine PLLC provides Reproductive Endocrinology Physician services 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.

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Practice location Address checks out

1040 River Oaks Dr
Jackson, MS 39232-9530 Not confirmed with CMS for 16 years — call before visiting
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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