Brand new in original packaging. No tags but this is typical with jewelry and includes bag and gift box. Ready to gift! Received as a gift but don’t wear necklaces enough to warrant keeping it. Would be perfect gift for nurse or doctor! See details from Zales site although this is out of stock now and no longer available. Sterling silver - diamonds (see screenshots with details from Zales website) Bundle with other items to save! Open to offers. Nursing, RN, pinning, new nurse, MD, cardiac, scrubs, figs