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

Ivory Nicole Perusse

Individual provider Peer Specialist · NPI 1023956794

Ivory Nicole Perusse is a Peer Specialist in Lawton, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2026

Practice location Address checks out

2 SE Lee Blvd
Lawton, OK 73501-2409
Phone: (580) 248-5780
Show map & directions

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

Additional practice locations (1)

  • 602 Sw 38th St, Lawton, OK 73505-6912 — (580) 248-5780

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1023956794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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