Individual provider · Type 1 NPI

Mariah Destiny Faulkner, MSN, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Virginia Beach, VA

NPI number 1255195178 Active

Practice location

1881 University Dr
Virginia Beach, VA 23453-8083

Fax (757) 683-5253

Mailing address

11932 Fairway Lakes Dr Ste 1
Fort Myers, FL 33913-8337

Other practice locations

  • 11932 Fairway Lakes Dr Ste 1, Fort Myers, FL 33913-8337 · (239) 237-2801

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11042136 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1255195178

Mariah Destiny Faulkner, MSN, APRN, PMHNP-BC's National Provider Identifier is 1255195178, issued on Feb 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Virginia Beach, VA. The record was last updated on Oct 23, 2025.