Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick G Henderson Jr.

Individual provider Homemaker · NPI 1679420178

Frederick G Henderson Jr. is a Homemaker in Florissant, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

2345 Cardinal Dr
Florissant, MO 63033-2025
Phone: (314) 598-1058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X · Licence LCO14715385 (MO)

Record details

NPI number1679420178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address2345 Cardinal Dr, Florissant, MO 63033-2025

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