Individual
MR. PRESTON THOMAS HOLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
(573) 200-6143
(573) 755-0706
Mailing address
2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
(573) 200-6143
(573) 755-0706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023019957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420124427
—
MO
Enumeration date
05/31/2023
Last updated
04/11/2026
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