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 provides Plastic Surgery Physician services 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