Organization
OLIVE TREE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBAYO EBENEZER FATOKI FNP-BC (PROVIDER)
(317) 440-5342
Entity
Organization
Contact information
Practice address
6865 PARKDALE PL, INDIANAPOLIS, IN 46254-5654
(317) 440-5342
Mailing address
6865 PARKDALE PL, INDIANAPOLIS, IN 46254-5654
(317) 440-5342
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
11/14/2025
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