Tandrea Sharna Walters Jackson, APRN PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1243122 Issued in TX

Practice address

20934 Fox Trot CT
Humble, TX 77338-1355

Phone

(929) 245-3010

NPI assigned

May 23, 2026

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1851221444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20934 FOX TROT CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773381355",
            "telephone_number": "929-245-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20934 FOX TROT CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773381355",
            "telephone_number": "929-245-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS JACKSON",
        "first_name": "TANDREA",
        "middle_name": "SHARNA",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1243122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enjoli Walker, RN
• Tyler Walker, NP
• Amy Vosburg Wallace, LPC-S, NBCC
• Terry Wallace, LOT
• Walsh Podiatry, PLLC
• Kathryn Walton, OTA
• Jeff C Wang, MD
• Anita Ward, LMT
• Asiah Washington
• Ebony Patrice Washington, APRN

• Psychiatric/Mental Health Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.