A detailed silver Stainless Steel Number One Nurse charm is the focal point of this handcrafted necklace. Personalized with a hand stamped initial disc and adorned with a wire wrapped freshwater pearl or an eye-catching Swarovski crystal birthstone for a touch of sparkle. Made to order with an 18 inch, shiny Sterling silver cable chain with secure spring ring closure. This necklace is handmade with love in the USA using the highest quality materials for a truly unique gift that the recipient will treasure for years. ❀ Gift packaging included with every order! ❀ ~Thank you for supporting handmade!