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Organization
BEYOND ROOTS, PLLC
Active
Organization
BEYOND ROOTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA PERRY CPNP (PEDIATRIC NURSE PRACTITIONER)
(585) 355-9192
Entity
Organization
Contact information
Practice address
1026 JAY ST, SUITE B251, CHARLOTTE, NC 28208
(980) 531-6136
Mailing address
PO BOX 143, PAW CREEK, NC 28130-0143
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
NULL
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
10/02/2026
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