Empowered in Care | Excellence in Health
About Guardian Primary Care
Established in 2024 in Cape Girardeau, Missouri, caring for patients across Southeast Missouri at every stage of life.
Who We Are

Guardian Primary Care opened its doors in Cape Girardeau in 2024. Care is led by Preston Holifield, DNP, APRN, FNP-C, a nationally certified family nurse practitioner who works alongside a Missouri Licensed Collaborating Physician, supported by a nursing and clinical team that greets you by name.
We are in network with most major commercial insurances, Medicare and Medicaid. If you would rather skip insurance entirely, Guardian Direct Care offers predictable pricing, easy access, and care from a provider who knows you, without hidden fees or surprise bills. Two doors into the same practice, so you can choose the one that fits your family.
Guardian serves patients from Cape Girardeau and the surrounding communities of Jackson, Scott City, Perryville and Sikeston, in person or by telehealth. Visits are by appointment, and the office is closed on US major holidays. Alongside everyday primary care, we care for aging adults and families living with dementia, and we refer out to trusted specialists whenever your care calls for it.
What Sets Us Apart
- Nationally certified family nurse practitioner, working with a Missouri Licensed Collaborating Physician
- In network with most major commercial insurances, Medicare and Medicaid
- Guardian Direct Care available if you prefer to pay directly
- Telehealth and in-person visits
- Same-day or next-day sick visits for Guardian Direct Care members
- Dementia care, aging adult services and caregiver support
- Family care for every stage of life, from children to seniors
- Referrals and affiliates when you need a specialist
Our Vision & Mission
In the practice's own words.
Our Vision
To provide accessible, high-quality care to all the lord's children to elevate healthcare on a systems & individual level in the communities we touch.
Our Mission
To serve & heal patients to be the happiest, healthiest, best versions of themselves.
We believe in providing care that is accessible, trustworthy, and relationship-driven, ensuring that patients feel seen, heard, and supported.
The Values We Practice By
These are the commitments behind every visit at Guardian.
Non-maleficence
First do no harm.
Beneficence
Do good unto others.
Integrity
We advocate relentlessly for our patients and act with unwavering honesty.
Compassion & Respect
Inclusivity & Equality
Faith & Humility
Balance & Personal Development
Passion

Two Ways to Get Care
Most patients use their insurance. We are in network with most major commercial insurances, Medicare and Medicaid, so you can see your provider with the coverage you already carry.
Prefer direct care? Guardian Direct Care is accessible, high-quality and transparent: predictable pricing, office visits with no visit limits, and direct access to your provider and your medical records. Fair, upfront self-pay pricing is available on request, and we accept HSA, FSA and CareCredit.
Health Education: PrestonNP
PrestonNP is a health education platform created by Preston Holifield, DNP, APRN, FNP-C, designed to make health education understandable, engaging, and empowering for everyday people.
Watch on YouTubeReady to Get Started?
Visits are by appointment. Schedule your first appointment online, or call the office and we will find a time that works.
PrestonNP: Health Education
PrestonNP is a health education platform created by Preston Holifield, DNP, APRN, FNP-C, designed to make health education understandable, engaging and empowering for everyday people.
