This Item is a RN Necklace, Item includes a RN charm with it. a small round stamped with an initial of your choice, please type in initial in the options. Please select what birthstone you would like from drop down menu. Chain is a 24 inch ball chain. Please message me with any questions. All Items ship within 2-3 days of receiving order. Orders are shipped via USPS First class, If you would like to upgrade the shipping please let me know. All Items are hand stamped and have slight variation in stamping and spacing. Each Item is stamped to order.