Empowered in Care | Excellence in Health

Meet the Guardian Team

Guardian Primary Care is led by a nationally certified family nurse practitioner working alongside a Missouri Licensed Collaborating Physician, supported by a nursing and clinical team that knows you by name.

A Message from Guardian

Meet Nurse Madi.

Our Providers & Staff

Care in Cape Girardeau, Missouri from people who take the time to listen. Here is who you will meet at Guardian.

Preston Holifield

DNP, APRN, FNP-C

Primary Care Provider

Preston believes in evidence-based, guideline-directed healthcare. That said, as healthcare has evolved over the years, Preston has risen with the tide. Through joint efforts with his Missouri Licensed Collaborating Physician, Preston employs his years of Nursing experience to delve into the root cause of his patients' health concerns. Preston believes in caring, & going above & beyond for each & every one of his patients. Preston believes all his patients at Guardian should feel the clinic is a safe place to speak freely & experience healing of the mind, body, & spirit in order to become the happiest, healthiest, best versions of themselves.

Credentials & Certifications

American Academy of Nurse Practitioner Nationally Certified Family Nurse Practitioner
Licensed by the Missouri State Board of Nursing
Basic Life Support (BLS) Certified Provider
Doctorate of Nursing Practice, Arkansas State University
Master of Science in Nursing, Southeast Missouri State University
Bachelor of Science in Nursing, Southeast Missouri State University

Heather Pullen

MSN, APRN, FNP-C, RN

Aesthetics Specialist

Heather brings a patient-centered, detail-oriented approach to aesthetic care. She is committed to safe, effective treatment while staying current with evolving techniques in cosmetic medicine. Working within a collaborative medical environment, Heather uses her clinical background and eye for precision to tailor each treatment to the individual, never a one-size-fits-all approach. She believes in taking the time to understand her patients' goals, educating them along the way, and delivering natural, confidence-enhancing results. At Guardian Aesthetics, Heather strives to create a comfortable, judgment-free space where patients feel heard, respected, and empowered in their confidence.

Credentials & Certifications

Certified Botox Injector
Licensed by the Missouri State Board of Nursing
Master of Science in Nursing

Madi Hayden-Moore

BSN, RN

Nurse

Nurse Madi is a dedicated healthcare professional known for her compassionate, patient-centered approach to care. She prioritizes listening, education, and individualized treatment, ensuring each patient feels heard, respected, and empowered in their health journey. With a strong commitment to quality and trust, Madi strives to create a welcoming environment where patients receive attentive, personalized care tailored to their unique needs.

Credentials & Certifications

Bachelor of Science in Nursing
Licensed Registered Nurse
Experience in Emergency Room Nursing, Labor & Delivery, and Primary Care Family Practice Nursing

Tamera Crowden

Certified Medical Assistant

Tamera is a compassionate and dedicated Medical Assistant committed to providing patients with a welcoming and supportive healthcare experience. She brings a patient-centered approach to her role, helping patients feel comfortable, respected, and cared for throughout the visit.

Credentials & Certifications

Certified Medical Assistant (CCMA)
BLS/CPR Certified

Ready to Meet Your Provider?

New patients can schedule online or call the office. Visits are by appointment, in person or by telehealth.

Schedule an Appointment Call (573) 200-6143

More from Guardian

Meet Heather Pullen, Aesthetic Injector

Empowered in Care, Excellence in Health

Watch more on the Guardian Health channel →