# BEYOND ROOTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558282228
- **Authorized official:** VANESSA PERRY CPNP (PEDIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (585) 355-9192

## Contact information

- **Practice address:** 1026 JAY ST, SUITE B251, CHARLOTTE, NC 28208
- **Practice address phone:** (980) 531-6136
- **Mailing address:** PO BOX 143, PAW CREEK, NC 28130-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2026
- **Last updated:** 10/02/2026