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

Signature Plastic Surgery, PLLC

Organization Plastic Surgery Physician · NPI 1558903146

Signature Plastic Surgery, PLLC is a Plastic Surgery Physician in Jackson, Wyoming. Registered with an NPI since 2019.

In the registry since
2019
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

260 N Millward St
Jackson, WY 83001-8581
Phone: (307) 699-3115
Fax: (863) 208-9210
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1558903146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Cooper — President / Owner · (307) 699-3115
NPI enumeratedOctober 15, 2019
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing addressPo Box 1148, Jackson, WY 83001-1148