Nacre Ems 
Specializes in custom necklaces and bracelets made with premium cultured pearls.
http://nacreams.com/Stone Tassels 
Fresh water pearl and gemstone bead necklaces, also some handcrafted silver jewelry.
http://www.nottoolost.com/
Full Moon Design 
Handmade pearl jewelry in sterling silver and gold.
http://www.fullmoon-design.com/
Karen Hartley Designs 
Handmade chunky jewelry using pearls and gemstones.
http://www.karenhartleydesigns.com/
Kelly Meeker Designs 
Offers jewelry created using pearls and mother-of-pearl.
http://kellymeekerdesigns.com
Susannah Chenevix-Trench 
Specializing in pearl and gemstone jewelry. Located in the UK.
http://www.chenevix-trench.co.uk
LaLore's Custom Jewelry Designs 
Blends cultured Swarovski crystals with cutlured and freshwater pearls and gemstones.
http://lalorejewelry.com/
Precious Pearls 
Ruth Evers crafts pearl and gemstone jewelry.
http://precious-pearls.com
Touch Stone Treasures 
Jewelry made of pearls and gemstones, as well as bookmarks.
http://www.touchstonetreasures.com
Mashu Mashu 
Laura Goldstein designs jewelry employing dense clusters of fresh water pearls and gemstones, enhanced with mother-of-pearl pendants.
http://www.mashumashu.com
Lissa Designs 
Showcases the handcrafted jewelry of Lissa Springstead, featuring pearls, freshwater pearls, silver, gold, and semi-precious stones.
http://www.lissadesigns.com
Jewelz By Maricar.com 
Maricar Lagman makes jewelry from fresh water pearls, austrian crystals, Balinese beads and sterling silver.
http://www.jewelzbymaricar.com
Debbie Corr Designs 
Handcrafted jewelry includes bridal jewelry, chandelier earrings, and sterling silver jewelry.
http://www.debbiecorrdesigns.com
Lagniappe Design 
Pearls and semi-percious gemstones on clear nylon string necklaces, bracelets and earrings.
http://lagniappedesign.com