That is, if two prime ideals share the exact same zeros on maximal ideals, are they the same ideal? Or at least is there a result with other assumptions that shows this?
Learning algebraic geometry at the moment and not that deep into it, but this keeps popping into my mind as I read. It seems like it should be true (at least for nice conditions like Noetherian rings), but I'm struggling to see a proof.
It seems like the question is whether $V(\mathfrak{p})$ and $V(\mathfrak{q})$ having the same closed points would imply $\mathfrak{p} = \mathfrak{q}$. As you suspect, it's not true in general: if $A$ is a local ring then you can't distinguish any prime ideals in this way.
On the other hand, if $A$ is a finitely generated algebra over a field then closed points are dense as a consequence of the Nullstellensatz (great exercise!), and I think you should be able to use that to verify your conjecture in that case.